Tennessee Model Release Form 1

Transcript

Office of University Marketing and Special Initiatives 1900 Belmont Blvd. Nashville, TN 37212 (615)460-5067 www.belmont.edu Model Release Form I hereby give Belmont University the absolute and irrevocable right and permission to use the photograph or video images taken of me to promote the values and programs of Belmont University as deemed appropriate by the university. Permission includes the right to: a.) copyright the photograph/video footage in Belmont’s name or the name of the photographer/videographer. b.) use, re-use, publish and republish the same in whole or in part, individually or in conjunction with other photographs/footage, in any medium, for promotional, public relations or advertising efforts of Belmont University. c.) use my name in connection therewith if so desired. I hereby release and discharge Belmont University from any and all claims and demands, arising out of or in connection with the use of the photographs or video footage, including any and all claims for libel or invasion of privacy. This authorization and release shall also inure to the benefit of the legal representatives, licensees, and assigns of Belmont University as well as the person(s) for whom the photographs or video is taken. I am over the age of eighteen, have read the foregoing and fully understand the contents thereof. Signature: ______________________________________ Date: _______________ Print Name: ________________________________________________________ Address: __________________________________________________________ __________________________________________________________ Project Title: __________________________________________________________ Project Contact:_______________________________________________________