OFFICE OF UNIVERSITY COMMUNICATION
RELEASE AND CONSENT TO USE LIKENESS
EVENT NAME
EVENT
DATE
DATE OF CAPTURE
NAME
VENDOR NAME
PLACE
LOCATION
Intending to be legally bound by the terms of this Release, I hereby agree as follows:
1.
I release and consent to the recording, reproduction and use of my image, voice, artistic or dramatic performance, my
actual or fictitious name, and any quotes or testimonials given by me on the above date (collectively “My Likeness”), in
the photographs(s), video recording(s) and audio recording(s) described above with or without my name (the
“Recording”) by Villanova University, or its agents and employees, including any third party publisher, periodical,
studio or other agency or designee approved by Villanova to use My Likeness (collectively the “Releasees”). I
understand the Releasees are under no obligation to use My Likeness.
2.
All rights to the Recording containing My Likeness belong exclusively to Villanova University including, without
limitation or obligation:
a.
b.
c.
The exclusive, unrestricted right to reproduce, print, publish, display publicly, distribute and sell drawings,
prints, or copies of the Recording or derivative works thereof in any medium throughout the world;
The exclusive right to license, sell, distribute or otherwise dispose of the following rights in the Recording:
publication and sale of the Recording in clothbound and paperback books; publication, sale or distribution of
the Recording in cards, posters, pictures, brochures, dramatic, motion picture, video, DVD (sight and sound);
broadcast and cable distribution (radio and television); and electronic, mechanical, optical or visual
reproduction, display or distribution rights (including by website, intranet, Internet, iTunes, YouTube,
microfilm and computer); and
The storage, copying, transmission and any other use of the Recording in any form of media, now known or
hereafter known; and any and all future and other rights not specifically enumerated for the benefit of
Villanova University.
3.
I provide this consent and release voluntarily for no payment or other consideration or promise or expectation of
payment or other consideration.
4.
I AGREE THAT I WILL NOT HOLD THE RELEASEES RESPONSIBLE FOR, AND I HEREBY WAIVE AND RELEASE ANY AND ALL
CLAIMS AGAINST THE RELEASEES FOR, ANY INJURY (PHYSICAL, ECONOMIC OR OTHER), I MIGHT INCUR IN
CONNECTION WITH THE RECORDING OR OTHERWISE SEEK DAMAGES FROM THE RELEASEES IN ANY FORM. I
RECOGNIZE THAT THIS RELEASE MEANS I AM GIVING UP, AMONG OTHER THINGS, RIGHTS TO SUE THE RELEASEES FOR
INJURIES, DAMAGES OR LOSSES THAT I MAY INCUR. I ALSO UNDERSTAND THAT THIS RELEASE BINDS ME, AS WELL AS
MY RESPECTIVE HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS.
I Affirm that I am 18 years of age or older.
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PRINTED NAME
__________________________________
SIGNATURE
__________________________________
DATE
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WITNESS PRINTED NAME
__________________________________
DATE
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WITNESS SIGNATURE