UWITV Video Release Form

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All authorized photographers taking photographs on University property or of University
events must obtain a signed release form from any student, faculty member, staff member,
or member of the public who is visibly recognizable in the photograph. Crowd scenes
where no single person is the dominant feature are exempt.

These rules govern photographs and video footage intended for use in any University publication or website
including, brochures, newsletters, promotional flyers, photo galleries or other such material.

Email *

Title

First Name *

Last Name *

Telephone Number

Recording Description *

The title or description of event, interview or production for which you were recorded.

Date of Recording

YYYY

Certified Statement of Subject

I hereby grant permission to the University of the West Indies, (the “University”) to use my name and image, video or sound byte on its World Wide Web site at www.uwitv.org or in other official University publications without further consultation, and without payment or consideration. I acknowledge the University’s right to crop or treat the photograph/video/sound byte at its discretion. I agree that the photograph, video and/or sound byte will become the property of the University, and the University may choose to use the photo/video/sound byte for any purpose related to media communication and promotion for The UWI. I also understand that once my image is posted on the University’s website, the image can be downloaded by any computer user on or off campus. Therefore, I agree to indemnify and hold harmless from any claims the following:

• University; and
• All employees of the University.

Any claims relating to the unauthorized publication of name and image by third-parties must be pursued by the claimant against the unauthorized user. I hereby agree that I am eighteen (18) years of age or older. I have had sufficient time to review and seek
explanation of the provisions contained above, have carefully read and understand them, and agree to be bound by them. I voluntarily and irrevocably give my consent and agree to this Release and Waiver.

The University of the West Indies reserves the right to discontinue use of photos without notice.

Do you agree to the above statement? *

I agree

Required

A copy of your responses will be emailed to the address you provided.

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