Video and
Audio Release Form
I am willing to be recorded on camera and have my voice
recorded and give Joseph Alderson or any other associate permission to use my
voice and picture without restriction for the purposes of his assignment.
Whether it be posting online, summiting to contests or any other kind of media.
I fully release Joseph Alderson or any other associate from
claims that may rise from the use of the footage or distribution of the
footage.
I take full responsibility for participation and take part in
the knowledge that it may be used for purposes of academic purposes. I hold
Joseph Alderson or any other associates free from any liability, loss of
expenses arising from the use my featuring in the video. I also allow Joseph
Alderson to use my full name, my voice, picture and the course I am currently
studying or any other material about me or the use of his project or any other
future project requiring the footage for public or private purposes.
PRINT NAME: ___________________________ SIGNATURE:____________________
ADDRESS:______________________________________
______________________________________
______________________________________
PHONE:_________________________ DATE:_________________
________________________________________________________________
CAMERAMAN:___________________________ SIGNATURE:______________________
INTERVIEWER:___________________________ SIGNATURE:______________________
DATE:_________________
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