Visual/Audio Image Release Form
I grant permission to California State University, its employees and agents, to take and use visual/audio images of me.
Visual/audio images are any type of recording, including but not limited to photographs, digital images, drawings, ren-
derings, voices, sounds, video recordings, audio clips or accompanying written descriptions. CSU will not materially al-
ter the original images. I agree that CSU owns the images and all rights related to them. The images may be used in any
manner or media without notifying me, such as university-sponsored websites, publications, promotions, broadcasts,
advertisements, posters and theater slides, as well as for non-university uses. I waive any right to inspect or approve
the finished images or any printed or electronic matter that may be used with them, or to be compensated for them.
I release CSU and its employees and agents, including any firm authorized to publish, broadcast and/or distribute a
finished product containing the images, from any claims, damages or liability which I may ever have in connection with
the taking or use of the images or printed material used with the images. I am at least 18 years of age and competent
to sign this release. I have read this release before signing, I understand its contents, meaning and impact, and I freely
accept the terms.
Accept or Decline this agreement:
Communications
Golden Shore, th Floor,
Long Beach, CA -
-- / Fax --
NAME (please print)
❏ Yes, I Accept ❏ No, I Decline this agreement
Office Use Only:
Project Name
(Photographer/Broadcast/Contact Information/Location/Notes/Photo Caption)
ADDRESS (optional)
DATE
DATE
TELEPHONE or EMAIL
SIGNATURE
SIGNATURE OF PARENT/GUARDIAN (If under 18 years of age)
CAMPUS ID NUMBER
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signature
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