Audio/video Release Form printable pdf download

AUDIO/VIDEO RELEASE FORM

I, _______________________ (print name), understand that by signing this release form, I

hereby grant my permission to The Ohio State University to videotape and photograph me, and

record my voice, conversation and sounds during and in connection with sharing my video

submitted for the Project Green Buckeyes contest. I hereby grant all rights to The Ohio State

University to use the results of such videotaping, photography and recording in perpetuity,

throughout the world, to reproduce, distribute, and use, in any manner and for any purpose, all

or any portion thereof, including but not limited to communication materials promoting The Ohio

State University Office of Student Life. Furthermore, I understand that the communication

materials may be distributed to various target audience populations and via various distribution

channels. I understand that once this information is printed, recorded and/or electronically

posted, The Ohio State University retains no further control over its use.

I waive any right to review or approve any finished communication materials that may use my

information. I acknowledge that OSU will rely on this permission and hereby agree not to assert

any claim of any nature whatsoever against anyone relating to the exercise of the permissions

granted hereunder.

I acknowledge and agree that this agreement is binding on all of my heirs and assigns. I also

agree that this agreement is governed by the laws of the State of Ohio, without regard to any

conflicts of law provisions.

I confirm that I am 18 years of age or older and understand that by signing this form my

information may no longer be protected by privacy rules or other confidentiality measures. I

have been offered the opportunity to ask questions, or have this form read to me. I understand

that I may revoke this authorization, in writing. Any revocation will not apply to information that

has already been released, printed, recorded and/or electronically posted.

Participant Signature _____________________________ Date_______________

Guardian Signature

_____________________________ Date_______________

(If video participant is under the age of 18)

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Audio/video Release Form