Photo Release Form

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
Signature: ______________________________________
Date: __________________________________________
Print name: ______________________________________
Address: ________________________________________
PLEASE FAX THIS FORM TO: Nord Embroden @ (760) 241-0881