California State University San Marcos
STANDARD RELEASE FORM
Production Date(s): __________________________
Program Title: _____________________________________
Client / Department: ______________ Producer _______________________
The undersigned enters into this agreement with California State University, San Marcos
(“the University”). I have been informed and understand that the University is producing
a video program and that my name, likeness, image, voice, appearance and
performance is being recorded and made a part of that production ("Product").
1) I hereby consent to any recording of myself, and of my personal effects or
domicile which were incident to my appearance, on any medium whatsoever by
said university, its agents, or employees.
2) I authorize the use of such recordings without compensation and without
notifying me for any educational or commercial purposes by the university, either
on or off campus. This grant includes without limitation the right to edit, mix or
duplicate and to use or re-use the Product in whole or part as the University may
elect.
3) University or its designee shall have complete ownership of the Product in which
I appear, including copyright interests, and I acknowledge that I have no interest
or ownership in the Product or its copyright.
4) The University may use my name, voice, likeness and biography in conjunction
with the product.
5) I warrant and represent that all material furnished by me is my own or that I have
full authority to use it for such purposes.
6) I expressly release and indemnify the University and its officers, employees,
agents and designees from any and all claims known and unknown arising out of,
or in any way connected with, the above granted uses and representations.
7) The rights granted the University herein are perpetual and worldwide.
I have read and understood the contents hereof, and agree to all of them.
_____________________________
Signature
__________________
Date
_____________________________ (Please print full name here)
_____________________________ _____________________
Address, City, State, Country, Postal Code Phone