PHOTO/VIDEO RELEASE FORM

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PHOTO/VIDEO RELEASE FORM
For photographing/videotaping students and faculty in academic settings.
NO NAMES ARE USED.
For valuable consideration, the receipt of which I acknowledge as
payment in full for my services as a model and for permission herein granted, I
hereby irrevocably consent to and authorize the reproduction and
publication/posting by Ramapo College of New Jersey of the photographs and
class video, in any medium and for any lawful purpose including, but not limited
to illustration, promotion, or advertising without any further compensation to me.
I waive any rights to notice or approval of any use of the photographs or
video which Ramapo College of New Jersey may make of, or authorize and I
release, discharge and make harmless Ramapo College of New Jersey and its
agents and licensees from any claims or liability in connection with the use of the
aforesaid photographs.
________________
DATE
_________________________________________________
NAME (Please print)
_________________________________________________
_________________________________________________
_________________________________________________
ADDRESS
_________________________________________________
PHONE NUMBER
_________________________________________________
PARTICIPANT SIGNATURE
_________________________________________________
PARENT OR GUARDIAN (If participant is under 18 years of age)
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