Stanford University Photo And Video Release Form printable pdf download

Stanford University Photo And Video Release Form

Photo and Video Release Form

Individual to be photographed or recorded (Releasee):

Name:______________________________________________________________________

Address: ____________________________________________________________________

Email or telephone: ___________________________________________________________

Project:

Photographer / videographer : ___________________________________________________

Subject(s): __________________________________________________________________

Intended use: ________________________________________________________________

Date/time images to be taken: ___________________________________________________

The Releasee hereby consents to participation in the above-referenced project, and grants the

photographer/videographer the right to record, edit, use, reproduce, publish and distribute by way

of photograph, video, television and all other media (electronic or otherwise) the visual and/or

audio likeness of Releasee.

Signature of Releasee:

___________________________________________________________________________

Date: ______________________________________________________________________

Stanford University Photo And Video Release Form