AUC Commencement Model Release Form

AUC Commencement
Model Release Form
I grant permission to the American University of the Caribbean School of Medicine (“AUC”) and its assignees, agents or employees,
to use photographic and videotaped images of me on the dates and at the locations listed below for use in University publications
such as recruiting brochures, catalogues, alumni magazine, newsletters, and display boards, and to use such images in electronic
versions of the same publications or on the University websites or other electronic forms or media. I also grant AUC permission to
release my contact information to Island Photography, Inc., the official photographer of the AUC Commencement Ceremony for
purposes of contacting me regarding photos taken at the ceremony.
I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in
conjunction with them now or in the future, whether that use in known to me or unknown, and I waive any right to royalties or
other compensation arising from or related to the use of the photograph.
I hereby agree to release, defend, and hold harmless AUC and their assignees, agents or employees, including any firm publishing
and/or distributing the finished product in whole or in part, whether on printed or via electronic media, from and against any
claims, damages or liability arising from or related to the use of the images, including but not limited to any misuse, distortion,
blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in
taking, processing, reduction or production of the finished product, its publication or distribution. I further agree that my name
and identity may be revealed in the descriptive text or commentary in connection with the photographic or videotaped images.
I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and
I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions
regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted
as a free and knowledgeable acceptance of the terms of this release.
Name (please print)
Address
Signature
10340G11_13