LIKENESS RELEASE FORM FOR ADVERTISING, PUBLICITY, AND DISPLAY MATERIALS

I hereby authorize Grand Valley State University to:

Record my likeness and voice on a video, audio, photographic, digital, electronic or any other medium.
Use my name in connection with recordings.
Use, reproduce, exhibit or distribute in any medium (e.g. print publications, video tapes, CD-ROM, internet/WWW) these recordings for any purpose that the University, and those acting pursuant to its authority, deem appropriate, including promotional or advertising efforts.

I give permission to Grand Valley State University to use, without charge and without reservation, my likeness in any medium and for any lawful purpose, including promoting the University, its programs and services.

I waive any rights of action I may have and release Grand Valley State University and its licensees from any and all claims I may have arising from my likeness, including any rights to sue for defamation or violation of my rights of privacy and publicity.

This Agreement fully represents all terms and considerations and no other statements, conditions, or promises are made in conjunction with this Release Form.

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Page last modified December 14, 2021

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