Fillable Texas Woman's university PHOTOGRAPHIC CONSENT AND RELEASE FORM

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Texas Woman's university PHOTOGRAPHIC CONSENT AND RELEASE FORM

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PHOTOGRAPHIC CONSENT
AND RELEASE FORM
I hereby authorize Texas Woman’s University (University), and those acting pursuant to
its authority to:
(a) Record my likeness and voice on a video, audio, photographic, digital,
electronic, or any other medium.
(b) Use my name in connection with these recordings.
(c) Use, reproduce, exhibit or distribute in any medium (e.g., print
publications, video tapes, CD-ROM, Internet/www) these recordings for any purpose
that the University, and those acting pursuant to its authority, deem appropriate,
including promotional or advertising efforts.
I release the University and those acting pursuant to its authority from liability for any
violation of any personal or proprietary right I may have in connection with such use. I
understand that all such recordings, in whatever medium, shall remain the property of the
University. I have read and fully understand the terms of this release.
Name:
Address:
[Printed Name]
[Street Address]
Phone:
[City] [State] [Zip]
Signature: Date:
Parent/Guardian Signature (if under 18):
Date:
Printed Name:
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Texas Woman’s University Photo Release for Large Groups
I hereby consent to the use, reproduction, editing and/or broadcast by Texas Woman’s University
of any and all photographs, video recordings and audio recordings of me taken by or on behalf of
Texas Woman’s University, from this day, without compensation to me. All negatives and
positives, prints, video-recorded images and audio recordings shall constitute the property of
Texas Woman’s University solely and completely.
Date: / / Location:
MO / DY / YR
Publication: Photographer:
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Texas Woman's university PHOTOGRAPHIC CONSENT AND RELEASE FORM

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Completed 3 February 2020

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