Resident Film Photograph Request Form (Page 3 of 3) in pdf

Resident Film Photograph Request Form Page 3

RELEASE FORM

In consideration for letting me film/photograph in the common area of an EHS facility, I hereby release Educational Housing

Services, Inc. and its affiliates and their directors, officers, employees, agents and representatives (collectively, “EHS”) from

any and all liability to me, and I agree not to raise any claims or institute any legal action against EHS based upon any cause

of action in my favor that arises out of or in connection taking photographs or filming at EHS. This release shall apply to any

loss of or damage to my property, and to any personal injury (including death or reputational injury) that I suffer, including,

without being limited to, any loss, damage or injury sustained or allegedly sustained by me due to the negligent acts or

omissions of EHS. This release is binding upon me and my successors, heirs, estate and assigns.

I fully understand and assume all of the risks, dangers and responsibilities connected with filming or photographing at an

EHS facility.

I also agree to assume responsibility for any and all damage to EHS’ property which arises out of or in connection with my

use of an EHS facility for this purpose.

I agree not to disturb, photograph or film any residents, employees or visitors at EHS without their written consent and I

agree that I will indemnify EHS for any claims against it and for any expenses or liabilities it suffers as a result of any injury

or property damage such patrons or employees suffer as a result of my use of an EHS facility for the purpose.

SIGNATURE

FULL NAME (Please Print)

DATE (mm/dd/yyyy)

Student Life

212-977-7622 x 5006

Resident Film Photograph Request Form Page 3