CIS Media Production Release Form

PERMISSION TO USE IMAGE

By submitting this form I give Texas Christian University and the Association of Texas Colleges and Universities, its employees, designees, agents, independent contractors, legal representatives, successors and assigns, and all persons or departments for whom or through whom it is acting, the absolute right and unrestricted permission to take, use and/or publish audio remarks and photographic images or pictures of me, whether still, single, multiple, or moving, or in which I may be included in whole or in part, in color or otherwise, made while I am at Texas Christian University through any form of media (print, digital, electronic or otherwise) at its campus or elsewhere, for art, advertising, recruitment, fund raising, publicity, archival or any other lawful purpose.

I waive any right that I may have to inspect and approve the finished product that may be used or the use to which it may be applied now and/or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image or product. I release and agree to hold harmless Texas Christian University and the Association of Texas Colleges and Universities, its board of trustees, officers, employees, faculty, agents, nominees, departments, and/or others for whom or by whom Texas Christian University is acting, of and from any liability by virtue of the taking of the pictures, in any processing tending towards the completion of the finished product, and/or any use whatsoever of such pictures or products, whether intentional or otherwise.

I certify that I am at least 18 years of age (or if under 18 years of age, that I am joined herein by my parent or legal guardian) and that this release form is submitted voluntarily, under no duress, and without expectation of compensation in any form (now or in the future).

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