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. If under 18: I agree, on behalf of myself and my minor child/ward, to be bound by all the above terms and conditions of the Release. ______________________________ PRINTED NAME of CHILD/WARD ______________________________ PRINTED NAME OF PARENT / GUARDIAN ______________________________ SIGNATURE OF PARENT / GUARDIAN _________________ DATE