Authorization to Use Photographs and/or Audio-Visual
For adequate consideration, the receipt and sufficiency of which is hereby acknowledged, I, the
undersigned, authorize Saint Louis University and its affiliates, as well as its trustees, directors,
officers, agents, and employees (hereinafter collectively referred to as SLU), and/or SLU authorized
representatives of magazines, newspapers, periodicals, radio, television, Web and other news and
educational media:
1. To obtain my background information, whether general or educational;
2. To record my participation and/or appearance in or at any event, location and the like on
videotape, audio tape, film, photograph electronic imagery or any other medium; and/or
3. To use my name, likeness, and/or voice in connection with the information and recordings
identified above.
I also authorize SLU, and/or SLU authorized representatives of magazines, newspapers, periodicals,
radio, television, Web and other news and educational media to duplicate, distribute, use and/or publish,
in whole or in part, without restrictions or limitations, and in all mediums, including, but not limited to,
magazines, newspapers, periodicals, raid, television, the World Wide Web, and other news and
educational media, the information and recordings identified in above.
I further expressly release SLU and the authorized representatives of magazines, newspapers,
periodicals, radio, television, Web and other news and educational media from any and all claims,
demands, liabilities, actions, causes of action, suits, and costs whatsoever that I/we may have against
any of them in connection with the recording, duplication, distribution, use, and/or publication of the
information and/or recordings identified above.
