Photo Release Form - University Of Florida

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GENERAL CONSENT AND RELEASE
I agree that the University of Florida Board of Trustees (the “University”) may record my
participation, appearance, likeness, and voice on any digital, analogue, or other device or storage
medium, including DVD, CD, video tape, audio tape, or photograph (the “Materials”). I hereby
unconditionally and irrevocably consent to the University’s use of the Materials for any legal
purpose. I waive any right to be paid for use of the Materials or to object to the use of the Materials
for any purpose, including, publishing, printing, displaying, exhibiting, distributing, or otherwise
publicly using the Materials. The University may edit, crop, retouch, or otherwise alter the
Materials to reveal my name and identity in the Materials or do so by descriptive text or commentary.
All intellectual property rights that are associated with the Materials are the sole property of the
University.
I have read and I understand this General Consent and Release.
I am, am not (circle one)
eighteen years of age or older.
Name: ______________________________
Signature: ______________________________
Phone: ______________________________
Address: ______________________________
Date: ______________________________
If the individual signing this General Consent and Release is under the age of eighteen
(18), his/her parent/guardian must sign below.
I certify that I am the parent or guardian of the individual who signed this General Consent and
Release above and I agree to be governed by the terms of this General Consent and Release.
Name:
Signature:
Date:

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