Media Release Form

Standard release forms are required for any individuals that may appear in a Fort Valley State University photo or video shoot. This form protects the university and ensures that we have the proper permissions in place to use an individual’s likeness in various materials.

Media Release Form

  • Accepted file types: doc, pdf, .
  • If chosen as a Fort Valley State University model/ambassador with regards to any photography/videotaping/audio recording session (the "Session") in which I participate in, I hereby give to Fort Valley State University (“FVSU”) my permission to photograph, record, videotape, audiotape or otherwise produce and reproduce the Session, and without limitation, my voice, image or likeness and/or use my name in any and all manner and media formats now in existence or later created (collectively the “Recordings”), including, by way of example, but not limitation, print, film, iTunes, YouTube, Facebook, audiotape, videotape, CD, DVD, television, radio, webcasts and podcasts throughout the world in perpetuity for any lawful purposes, including, but not limited to archival, teaching, research, public service, publicity and institutional promotional campaigns, without any obligation to provide payment or royalties. I understand and acknowledge that FVSU owns the copyright in the Recordings, and the Recordings may be edited in FVSU’s sole discretion. Further, I release Fort Valley State University, its agents, employees, licensees, and assigns from and against any and all claims or any other causes of action arising out of production, distribution broadcast or exhibition of the work in any medium, including but not limited to the media listed above.
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