Get University of Louisville Photo/Video Release & Consent Form

PHOTO / VIDEO RELEASE CONSENT FORM University of Louisville Imaging Television New Media I authorize the University of Louisville to photograph or record my name likeness voice and performance without payment or other compensation. I release all claim to audio and video recordings or photographs of this performance and assign all rights to these images or recordings to the University of Louisville. I understand use of these images and recordings may include educational materials educational broadcasts and web sites or promotion of the University of Louisville. My assignment of these rights is not limited to any specific time period or purpose. I warrant that all material furnished by me is either my own original work or work for which I have obtained copyright permission and full authority to use for this purpose. I agree to all of the above on behalf of myself my minor child other family member or person for whom I have legal responsibility. Project Information Title Welcome Weekend SOUL Date August 21 2010 Signatures Subject or Guest Name Please Print Parent or Guardian Name Please Print parent or legal guardian name and signature is required if subject is a minor child or unable to sign for any reason. I understand use of these images and recordings may include educational materials educational broadcasts and web sites or promotion of the University of Louisville. My assignment of these rights is not limited to any specific time period or purpose. I warrant that all material furnished by me is either my own original work or work for which I have obtained copyright permission and full authority to use for this purpose. My assignment of these rights is not limited to any specific time period or purpose. I warrant that all material furnished by me is either my own original work or work for which I have obtained copyright permission and full authority to use for this purpose. I agree to all of the above on behalf of myself my minor child other family member or person for whom I have legal responsibility. I agree to all of the above on behalf of myself my minor child other family member or person for whom I have legal responsibility. Project Information Title Welcome Weekend SOUL Date August 21 2010 Signatures Subject or Guest Name Please Print Parent or Guardian Name Please Print parent or legal guardian name and signature is required if subject is a minor child or unable to sign for any reason. I understand use of these images and recordings may include educational materials educational broadcasts and web sites or promotion of the University of Louisville. My assignment of these rights is not limited to any specific time period or purpose. I warrant that all material furnished by me is either my own original work or work for which I have obtained copyright permission and full authority to use for this purpose. I agree to all of the above on behalf of myself my minor child other family member or person for whom I have legal responsibility. My assignment of these rights is not limited to any specific time period or purpose. I warrant that all material furnished by me is either my own original work or work for which I have obtained copyright permission and full authority to use for this purpose. I agree to all of the above on behalf of myself my minor child other family member or person for whom I have legal responsibility. Project Information Title Welcome Weekend SOUL Date August 21 2010 Signatures Subject or Guest Name Please Print Parent or Guardian Name Please Print parent or legal guardian name and signature is required if subject is a minor child or unable to sign for any reason. .