RELEASE AND CLEARANCE
Event:
Date:
I, _____________________________________, enter into this Release with the University of
Wisconsin System and UW-Platteville, Media Technology Services.
I authorize the University to create recordings of my image, likeness, and/or voice (“Recordings”)
in connection with my presentation at the __________________ Event. I agree the Recordings
may take the form of photographs, films, video and audiotapes, CD-ROMs, DVDs, digital files,
and/or any other media. UW-Platteville may use the recordings at the University’s discretion. The
University may use and license others to use recordings in their original or edited form in any
media for any and all educational or commercial purposes, and may use and license others to
use my name, image, likeness, voice, and biographical or other information in connection with the
recordings.
I understand that use of the Recordings may include, but not necessarily be limited to, the
following:
• Internal use at University of Wisconsin System institutions
• Local and regional cablecast on educational access channel
• Streaming in digital format (live or on demand) on the Internet
To the best of my knowledge, all materials I will use in my presentation are my own or are
materials for which I have obtained any necessary permission. If I am using materials to which I
do not own the copyright, I understand that some uses of the Recordings, such as broadcast or
streaming uses, may require permission from the copyright holder even though such permission
would not be required for traditional classroom use. My presentation will not infringe any
copyrights or other rights of others, and will contain nothing defamatory or obscene. My
presentation and materials used are not subject to any prior agreements that would limit the
scope of the permission I am granting here. If I breach the representations I am making here, and
if the UW-System or UW-Platteville should suffer damages as a result, I agree to indemnify the
UW-System or UW-Platteville for those damages.
I further acknowledge that I will not be compensated for any uses made of the Recordings and
that UW-Platteville exclusively owns all rights to these Recordings. However, except for the
permissions I am granting here, I retain all rights I may otherwise hold in copyrighted materials
included in my presentation and/or incorporated into the Recordings.
I hereby waive all rights and release the UW-System or UW-Platteville (including its officials,
employees, representatives, agents, licensees, successors, and assigns) from, and shall neither
sue nor bring any proceeding against any such parties for, any claim or cause of action, whether
now known or unknown, for defamation, invasion of right to privacy, publicity or personality or any
similar matter, or based upon or relating to the use and exploitation of the Recordings.
I agree that I have read and understood the contents hereof, and that I have the right and
authority to execute this Release.
________________________________________ ___________________________
Releasor’s Signature
Date