Photo Release Form______
All photographers taking photographs on University property or of University events must obtain a signed release form from any student, faculty member, staff person, or member of the public who is visibly recognizable in the photograph.
These rules govern photographs intended for use in any University publication of a marketing or a public relations nature, such as newsletters, brochures, viewbooks, promotional items, or other such material. Releases also must be obtained for photographs used on the Web. These rules are not in effect when photographs are taken of news events, but photographs taken for news purposes require a release for reuse in marketing materials.
Photo Release ______
I hereby grant the Society of Women Engineers permission to use my likeness in photograph(s)/video in any and all of
its publications and in any and all other media, whether now known or hereafter existing, controlled by the Bagley College
of Engineering, in perpetuity, and for other use by the University. I will make no monetary or other claim against the Society of Women Engineers for the use of the photograph(s)/video.
I agree to release and hold harmless the Society of Women Engineers via electronic or media, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any re-use, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur
or be produced in production of the finished product.
I am 18 years of age and I am competent to contract in my own name. I have read this release before signing below,
and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any
specific questions regarding this release by submitting those question in writing prior to signing, and I agree that my
failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
Name (Printed): ______
Date: ______
Address: ______
Signature: ______
Email: ______
MSU Affiliation (check one):
___ Student ___ Faculty __X__ Other: _#BeThatEngineer/SWE Outreach Program Participant____
___ Staff ___ Alumn
High School: ______
Photo caption(s): ______
______
______
If the person signing is under age 18, there must be consent by a parent or guardian, as follows:
I hereby certify that I am the parent or guardian of ______, named above,
and do hereby give my consent without reservation for the purposes set forth in original release hereinabove on behalf
of this person.
______
(Parent/Guardian’s Signature) (Date)
______
(Parent/Guardian’s Printed Name) (Date)