Course Release and Capture Consent Form
I (the undersigned) understand and agree that comprehensive course materials including text, graphic
designs, images, video and audio files will be collected and preserved and that I was made aware of this
fact by the course instructor at the beginning of the semester/block.
I hereby grant to Brigham Young
University-Idaho (the “University”) a non-exclusive license and right to use excerpts or completed works that
may contain either an audio or video representation of myself (e.g., student presentation, small group
discussion or comments in a seminar format).
Moreover, the University shall not be obliged to make any
use of the work or exercise any of the rights granted herein. I further understand that I will receive no money
or remuneration of any kind from the University related to this consent and release, or the materials covered
by this consent or release. I acknowledge that I do not have the right to inspect or approve any materials
developed by the University as authorized below.
This release and consent includes but is not limited to the right to:
1.
Make and copyright text, photographs, audio and/or video recordings of my image and voice as part
of the University’s educational or related purposes.
2. Use, produce, modify, distribute, and disseminate such materials and projects in any form, manner,
or mode of electronic transmission for educational or related purposes.
In connection with this grant I release BYU-Idaho and its assignees from any and all claims and demands
related to such use of my work, talent, image, voice, or performances, including any and all claims for
copyright infringement or invasion of privacy. Furthermore, I hereby certify and represent that I am over 18
years of age and have read the foregoing and fully understand the meaning and effect thereof. In the case
of a child under the age of 18, I state that I am the parent, guardian, or otherwise legally authorized adult
capable of giving consent.
(Student’s signature and date)
(Student’s Printed Name)
(Student’s University ID #)