Fillable PHOTOGRAPHY, VISUAL IMAGE, & CONCEPT IDEAS RELEASE FORM (California State University, Long Beach)

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PHOTOGRAPHY, VISUAL IMAGE, & CONCEPT IDEAS RELEASE FORM (California State University, Long Beach)

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PHOTOGRAPHY, VISUAL IMAGE, &
CONCEPT IDEAS RELEASE FORM
I, (“Releasor”) g
rant permission to California State University, Long Beach, the
California State University Long Beach Research Foundation, and the employees and agents of each of them
(collectively “CSULB”), to use my visual/audio content, which includes, but is not limited to, any type of recording,
photographs, digital images, drawings, renderings, voices, sounds, video recordings, audio clips, concept ideas and
any accompanying written descriptions. I represent that I took or otherwise created the visual/audio content and/or
concept ideas and they are not an impermissible or otherwise unlawful copy, duplication or reproduction of another
person’s work.
I agree that the visual/audio content may be used in any print, electronic or other media or format selected by
CSULB at its sole discretion without notifying me. I further agree that the visual/audio content may be used by
CSULB for any purpose, including but not limited to educational, marketing, public relations, websites, social
media, publications, promotions, broadcasts, advertisements, and posters, as well as for non-university uses. I
waive any right to inspect or approve the finished visual/audio content or any printed or electronic matter that
may be used with them.
I further acknowledge that I have voluntarily agreed to take and/or provide the visual/audio content to CSULB
without the promise of compensation or remuneration in any form whatsoever, and I waive any claim for
compensation or remuneration of any kind for CSULB’s use or publication of the visual/audio content.
I release CSULB and any firm authorized to publish, broadcast and/or distribute a finished product
containing the visual/audio content, from any claims, damages or liability, that I may ever have in
connection with the taking or use of the visual/audio content or material used with the visual/audio content,
including, but not limited to any and all claims for copyright infringement; invasion of privacy; defamation; false
light or misappropriation of name, likeness or image.
IF RELEASOR IS 18 YEARS OF AGE OR OVER:
I am at least 18 years of age and competent to sign this release. I have read this release before signing, I
understand the legal consequences of its contents, meaning and impact and I freely accept the terms.
Printed Name Date
Signature Telephone
Email Address
(see page 2 if signing for a minor)
CSULB photo release, 2.23.17
Page 1 of 2
IF RELEASOR IS UNDER 18 YEARS OF AGE:
I am the parent or legal guardian of the minor Releasor. I have read this release before signing; I understand the
legal consequences of its contents, meaning and impact; and I freely accept the terms on behalf of the minor
Releasor and agree to be bound by the terms of this document.
I have read this two-page document, and I am signing it freely. No other representations concerning the legal effect
of this document have been made to me.
Minor Releasor’s Printed Name
Minor Parent/Guardian’s Printed Name Date
Signature Telephone
Email Address
PROJECT OR EVENT NAME:
Photographer Broadcast
Contact Information Location
Notes
Photo Caption Photo Credit Requested
CSULB photo release, 2.23.17
Page 2 of 2
Camp Nugget
Camp photo
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PHOTOGRAPHY, VISUAL IMAGE, & CONCEPT IDEAS RELEASE FORM (California State University, Long Beach)

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Completed 25 August 2021

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