Bard Early College Media Consent Form
BHSEC MANHATTAN MEDIA CONSENT FORM

CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE A STUDENT FOR NONPROFIT USE (i.e. educational, public service, or health awareness purposes)


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Email *
STUDENT FULL NAME *
CAMPUS *
I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the Student named above by Bard College and its partners and affiliates. I grant Bard College and invited members of the press the right to disclose, edit, use, and reuse the Student’s image, quotes, name, and interviews, and photographs, recordings, and videos of the Student for Bard College’s nonprofit and public press purposes. This includes use in print, on broadcasts, in online spaces, and all other forms of media. I understand that when the school hosts a public event, individuals at the event may take their own photographs, videos and audio of the event, that such recordings may capture me or my child, and that they may also be made public.I also release Bard College, its agents, and employees from all claims, demands, and liabilities in connection with the rights granted above. *
I agree, and it is my intent, to electronically sign this Media Consent Form. By submitting this e-document to Bard Early College in this way, I understand that my e-signing and submitting is the legal equivalent of having placed my handwritten signature. *
SIGNATURE OF PARENT/GUARDIAN (if the student is under the age of 18. If not, please write N/A) *
SIGNATURE OF STUDENT (if the student is over the age of 18. If not, please write N/A) *
A copy of your responses will be emailed to the address you provided.
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