Photo Collection

I (hereinafter referred to as the “Releasor”) hereby:

1. Grant permission to Lakehead University (hereinafter called the “University”), its Board of Governors, officers, employees, volunteers, agents, independent contractors, licensees, successors, assigns, and any third party it may authorize (hereinafter collectively referred to as the “Releases”), to take photographs or videos of me and to make recordings of my voice (said photographs, videos, and/or recordings are hereinafter called “Recordings”) in the following context: Event or Occasion: Location: Date: University Unit Making Recording:
2. Further grant to the Releasees the full right to use, reproduce, create derivative works of, display, broadcast, distribute, sell, license, lend, and give away the originals, reproductions, editions, adaptations, alterations, and derivations of the Recordings in any media now known or later developed, anywhere in the world, and in perpetuity, in connection with promoting, publicizing or explaining the University and its activities and for administrative, educational, or research purposes.
3. Waive any right to inspect or approve the use of the Recordings or of any reproduction, alteration, or derivation of the Recordings in any medium.
4. Further waive all moral rights and all claims to royalties or other compensation arising from or related to the making or use of the Recordings or reproductions, alterations, or derivations of the Recordings.
5. Understand and agree that the University owns all rights to the Recordings.
6. Confirm that I am 18 years of age or older and that I am competent to contract in my own name. I have read this Release Form before signing below, and I fully understand its contents, meaning and impact. I agree that this Release Form, including all its contents, is binding on me, my heirs, executors, administrators and assigns.