Recording And Materials Release Form printable pdf download

Recording and Materials Release Form

Thanks for agreeing to participate in the Open.Michigan event named below. Open.Michigan is

helping the University of Michigan and its collaborators share their educational resources with the

world. Learn more about Open.Michigan at < For any questions, please email:

open.michigan@umich.edu.

My Name:_______________________________________________________________________

My Title:_________________________________________________________________________

Name of Event and/or Materials:______________________________________________________

Date of Event: ____________________________________________________________________

I authorize the Regents of the University of Michigan (“the University”) to record, duplicate, distribute,

publicly perform or display, make derivative works of, or otherwise use photographic images and audio

and/or visual recordings of me or works of authorship I have presented or submitted to the University

(“the Materials”). I also understand and agree that:

•

I give the University a non-exclusive, royalty-free, license in perpetuity to use the Materials.

•

Copies of the Materials will belong to the University, and I will not receive payment or any other

compensation in connection with this release;

•

The University may publish and distribute copies of the Materials in any medium, including but

not limited to: print publications, video streaming websites, podcasting, and broadcast media;

•

The University may make copies of the Materials available, consistent with its educational

mission, on a free and open basis to the world as Open Educational Resources (OER);

•

I have had a chance to discuss this form with the University staff and have received complete

answers to all my questions; and,

•

I release the University from any and all liability that may or could arise from the taking or use

of these recordings or works and I have the right to sign this agreement for these Materials.

Signature: ______________________________________________ Date: _______________

Email: _______________________________ Phone: ________________________________

Address: ____________________________________________________________________

____________________________________________________________________

City: ________________________ State/Province/Region:____________________________

ZIP/Postal Code: _____________________________________________________________

Version 16 September 2010

Recording And Materials Release Form