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)