Photograph/Media Consent and Release
I consent and authorize LIBERTY VILLAGE PROJECT to take photographs or motion pictures of myself (and/or my child); or to produce videotapes, audiotapes, closed circuit television programs, web casts, or other types of media productions that capture myself (and/or my child’s), voice, and/or image (any of the foregoing types of media are called the “Materials” in this Consent and Release form).
I authorize LIBERTY VILLAGE PROJECT to copyright the materials, and I authorize LIBERTY VILLAGE PROJECT to use, reuse, copy, publish, display, exhibit, reproduce, license to third party, and distribute the materials in any educational or promotional materials or other forms of media, which may include, but are not limited to university publications, catalogs, articles, magazines, recruiting brochures, websites or publications, electronic or otherwise, without notifying me. I agree to these items to be used up to 99 years after the initial date of use. I agree that I am participating on a voluntary basis and I will not receive any payment from LIBERTY VILLAGE PROJECT for signing this release or as a result of any publication of the materials.