Policy Statement: Liability/Publicity Release

I, ____________________, being at least eighteen (18) years of age, hereby authorize Hampden-Sydney College to record my picture and/or voice photographs, films, tapes, or other media, and to use my name and biographical information in connection therewith, without further compensation or permission.

I further authorize Hampden-Sydney College and/or its agents to edit any recordings of my likeness and/or voice at its discretion, and to incorporate these recordings into print publications, electronic publications, software, movie and sound films or tapes, broadcasts (radio and television), programs, or otherwise, and to use and license others to use such publications, recordings, software, movie and sound films and tapes and broadcast programs in any manner of media whatsoever, including unrestricted use for purposes of publicity, advertising and sale promotion, and to use my name, likeness, voice, and biographic or other information in connection therewith. I understand that Hampden-Sydney College exclusively owns all rights to these recordings irrespective of the form in which they are produced or used.

I further agree to indemnify and save harmless Hampden-Sydney College, its licensees, agents, successors and assigns from any and all claims and liability for damages, losses, or expenses of any sort arising from the making of such recordings and their use, including, without limitation, claims with respect to my right to privacy or publicity.

I have read and understood the contents hereof, and have the right and authority to execute this release and indemnification. I understand that this Liability/Publicity Release is to be interpreted under the laws of the Commonwealth of Virginia without resort to its conflict of laws rules, and I hereby submit to the jurisdiction of the courts of the Commonwealth of Virginia.

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Date
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Signature
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Name

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Address

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City

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State/Zip

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Phone