Photographic Image Release Agreement - Personal Image

This is a release of your rights, read carefully before signing.

I hereby release to California Polytechnic State University, San Luis Obispo, California for use and reproduction by the University for representation, publicity, and/or promotional purposes which may include, but are not limited to: All forms of media.

Such release is made without consideration beyond acknowledgement by the University of this Release Agreement.

This Release Agreement is intended to discharge the State of California, Trustees of the California State University, California Polytechnic State University, officers, employees, students and volunteers of each from and against any and all liability arising out of or connected in any way with my release of photographic image even though that liability may arise out of the negligence or carelessness on the part of persons or agencies mentioned above.

I understand that institutional data (including photographic image(s) may be protected under state and/or federal privacy acts including but not limited to the Family Educational Rights and Privacy Act), nevertheless, I agree to assume the risks of authorizing the University to use my image and release and hold harmless any of the persons or agencies mentioned above who (through negligence or carelessness) might otherwise be liable to me (or my heirs or assigns) for damages.  It is further understood and agreed that this Photographic Image Release Agreement is to be binding on my heirs and assigns

If the Releaser is under 18 years of age, a Parent or Guardian needs to fill out and sign the Photographic Image Release Agreement - Personal Image form. You can scan and email it to architecture@calpoly.edu.

I have read this entire Release Agreement, I fully understand and agree to be legally bound by it.