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UCLA Lake Arrowhead Lodge
Photo and Video Release
Consent For Use Of Image
Production Title: UCLA Lake Arrowhead Lodge Video and Photo Shoot
Consent to be filmed/photographed
(Required)
I agree to the below:
The by checking this box, the undersigned authorizes the Regents of the University of California and their appointed agents to photograph, televise, videotape, film, audio record, duplicate, and/or transfer to any present or future publication of the Regents of the University of California, including but not limited to film broadcast, printed publications, print collateral, web pages, web-based publications, and social media from the UCLA project referenced above, with the appearance or likeness of:
Name of photography/video subject
(Required)
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Last
Consent for use
I agree to allow the use of my likeness in the following instances:
The undersigned agrees that the Regents of the University of California, their authorized agents, employees and assignees may use the videotapes, photographs, film and/or audio recordings prepared therefrom for UCLA educational, marketing, fundraising or research purposes, or other related use, in perpetuity. No compensation will be paid for this express use.The undersigned waives any right to inspect or approve the finished product or products or the advertising copy or printed matter that may be used in connection therewith or the use to which it may be applied. The undersigned affirms that they are over 18 years old, and that they have read and understand this agreement, freely and knowingly giving their consent to the use of their image or likeness as described herein.
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Typing my name serves as my signature and further confirmation of the terms above.
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