Photo Release Form TECH-X 2010 ~ MAY 7 AND 8, 2010 NAME: _______________________________ I hereby give Victor Valley College permission to take photographs or video of myself or photographs or video in which I may be involved with others for the purpose of promoting Victor Valley College, Tech-X or the colleges educational programs. I hereby release and discharge Victor Valley College from any and all claims arising out of use of the photos or videos, or any related rights that I may have. I have read the foregoing document and fully understand its contents. Signature: ______________________________________ Date: __________________________________________ Print name: ______________________________________ Address: ________________________________________ PLEASE FAX THIS FORM TO: Nord Embroden @ (760) 241-0881