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Photographic Consent and Release Form

I hereby authorize Loyola Marymount University and those acting pursuant to its authority (“university”) to:
  • Record my likeness and voice on a video, audio, photographic, digital, electronic or any other medium; and
  • Use my name in connection with these recordings; and
  • Use, reproduce, exhibit or distribute in any medium (e.g., print publications, video tapes, CD-ROM, Internet) these recordings for any purpose that the university deems appropriate, including promotional or advertising efforts.
Any copyrights arising from the aforementioned uses shall remain the sole property of the university. I waive my rights to any and all claims for payment in connection with this authorization and release. I release the university 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, are, and shall remain, the property of the university. I have read and fully understand the terms of this release. If this release involves a minor (anyone under 18), my signature waives all claims on his/her behalf. This release is governed by the laws of the State of California.

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Thank you.  When you have completed all of the fields and indicated your agreement by checking the signature box, click the Submit button to complete the release form.