Photo & Video Release Form

I hereby grant Greenville University permission to use my likeness in one or more photographs and/or video footage in any and all publications for any purpose, including videos and web site entries, without payment or any other consideration in perpetuity. I understand and agree that these materials will become the property of Greenville University and will not be returned.

I hereby irrevocably authorize Greenville University to edit, alter, copy, exhibit, publish or distribute the photograph(s) and video footage for any purpose relating to Greenville University or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph(s) and video footage.

I hereby hold harmless and release and forever discharge Greenville University, its trustees, directors, officers, employees agents, insurers, representatives, and attorneys from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other person acting on my behalf or on behalf of my estate have or may have which arise out of or which are in any way connected with the use of the photograph(s) and video footage including, but not limited to, any and all claims for libel and/or invasion of privacy.

I am 18 years of age or older and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release. I agree to indemnify and hold Greenville University, its trustees, directors, officers, employees, agents, insurers, representatives, and attorneys harmless for any and all losses, claims, expenses, suits, costs, demands and damages or liabilities on account of personal injury, death, or property damages of any nature whatsoever and by whomsoever made, arising out of the photographed activities in which I am taking part.

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Full Name *

First Name Middle Name Last Name

Date *

Date

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Contact Number *

Area Code Phone Number

E-mail *

If the person signing is under age 18, there must be consent by a parent or guardian as follows:

I hereby certify that I am the parent or guardian of {fullName2}, named above, and do hereby give my consent without reservation to the foregoing on behalf of this person.

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Name

First Name Last Name