Media Reproduction & Distribution Release
Media Distribution Services
756-7198
| mds.calpoly.edu
In consideration for the opportunity to participate in:
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to be recorded through image, audio and textual media and for other valuable consideration, I,
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Hereby grant, assign and convey to California Polytechnic State University, all right, title, and interest I may have in and to the specified program, and in and to any reproduction of my image, voice or text made there from.
I authorize the unlimited use and distributions of reproductions of my image, voice or text by the University as well as any copyrights or renewals of copyright including biographical materials to publicize such use. I understand that such use may include publication, media reproduction, audio and/or video broadcast, Internet distribution/access and other uses as desired by the University. I waive any right to inspect or approve the media reproductions or use as well as any right to royalties or compensation arising from the use.
I hereby release and discharge the State of California, Trustees of the California State University, California Polytechnic State University, officers, employees, students and volunteers of each (the ”University”) from and against any and all liability arising out of or connected in any way with the use of reproductions of my image, voice or text even though that liability may arise out of the negligence or carelessness on the part of persons or agencies mentioned above.
I have read this entire Release Agreement, I fully understand it and I agree to be legally bound by it.
THIS IS A RELEASE OF YOUR RIGHTS. READ CAREFULLY BEFORE SIGNING.
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| Releasor’s Signature) |
(Date) |
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| (Parent or Guardian if Releasor is under 18 years old) |
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| Witness |
Date |
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