Anyone featured in either a still photograph or video that is used for promotional purposes must complete and sign a photo release form.

In consideration of my engagement on camera, upon the terms hereafter stated, I hereby grant Adelphi University and/or its agents and their respective licensees, successors and assigns the absolute right and permission to copyright and use, reuse and publish, and republish still photography or video footage of me or in which I may be included, in whole or in part, in perpetuity and without restriction as to changes or alterations, from time to time, in conjunction with my own name, or reproductions thereof otherwise made through any media now known or to be devised for documentary, promotional, artistic, marketing, trade or any purpose whatsoever. However, the rights granted shall not permit exercise of these rights as direct commercial endorsement of any product without first obtaining my written consent. I also consent to the use of any printed matter in conjunction therewith. I waive any right to compensation for the use or publication of such images and video. Images and video may be stored in print or digital form either in secure files, servers or web-based cloud servers.

I agree that Adelphi University will be the sole owner of all rights in the aforementioned images, video and publications. I hereby irrevocably release and discharge Adelphi University and its officers, trustees, employees and agents from all claims, demands and causes of action that I now have or in the future may have relating to the permitted use of my likeness. I hereby waive any right that I may have to inspect or approve the finished product or products that may be used in connection therewith or the use to which it may be applied. I hereby release, discharge and agree to save harmless Adelphi University and/or its agents and their respective licensees, successors and assigns, and all persons acting under its permission or authority or those for whom Adelphi is acting, from any liability by virtue of any alteration, whether intentional or otherwise, that may occur or be produced in the taking of said still photography or video footage or in any subsequent processing thereof, as well as any presentation, exhibition or streaming thereof. Nothing contained herein obligates you to exercise any of these rights, licenses or privileges granted to you by this release agreement.

Contact the Office of University Communications and Marketing in writing at to discontinue usage of your image. Discontinuing use will not apply to any printed materials already in use.

I hereby give permission to the Office of University Communications and Marketing to check my academic and disciplinary records, and I understand that this information will only be used in the selection process for students to be profiled in newsletters or otherwise featured in other publications and ads.

This release is governed by and will be construed in accordance with the laws of the State of New York.

I certify that I am over eighteen (18) years of age. If under 18 years old, a parent/guardian must sign.

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  • Date Format: MM slash DD slash YYYY
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