Photography Release Form

Please note this language and form has been verified by General Counsel at Boston University.

"*" indicates required fields

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Please note this will only be used for follow-up questions.

Tell us who took the photo (name of professor, friend, etc.), when it was taken, and at what event.*

I hereby authorize Trustees of Boston University ("Boston University"), or an agent designated by Boston University, to take photographs or screenshots (the "Photographs") of me on the above entered date, during my participation of the above entered event at the above entered location, and to use my name, image, and biographical information in connection with the reproduction and distribution of the Photographs.

I agree that Boston University will own the Photographs and all copyrights and other rights therein, and that the Photographs may be printed or otherwise used in Boston University publications and other media, including the Boston University website. I release Boston University and its agents from any claims arising from the taking or use of such Photographs. I understand and agree that I will not receive any royalties or other payment in connection with either the rights granted herein or the use and dissemination of the Photographs.

I certify that I am eighteen years of age or older.

I agree with the above statements.*

Yes