Photo/Video Release Form

Release Information

For good and valuable consideration, receipt of which is hereby acknowledged. I consent that Nipissing University, their legal representative, successors or assigns, shall have the absolute right and permission to copyright, publish, use sell or assign any and all photographic, portraits, pictures or video of me taken on this date, or provided by me, whether apart from or in connection with illustrative of written matter, story or new items or for trade, advertising or for any other purpose in conjunction with my own or a fictitious name, or in reproductions thereof in color or otherwise.