Photograph & Video Release Form

Photograph & Video Release Form
I grant Campbell University absolute permission to use photographs, videos and audio recordings of me from promotional and publicity efforts in any manner or medium. I understand my image or likeness may be used in publications, print materials or digital ads, direct-mail pieces, social media, digital media programs (video, audio, web), or other forms of promotion. I release the University, the photographer/video producer, their offices, employees, agents and designees from liability for any violation of any personal or proprietary right I may have in connection with such use. Furthermore, I grant permission to use my statements that were given during any interviews or lectures, with or without my name, for the purpose of advertising and publicity without restriction. I understand that all such recordings, in whatever medium, shall remain the property of Campbell University in perpetuity and I waive my right to any compensation.
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone:
Email Address:
Parent or Guardian if subject is under 18.

First NameLast Name
I agree to the terms and conditions. Signature:

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Last updated: October 29 2021
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