HSC Photo Permission, Waiver, and Release

I hereby authorize The University of North Texas Health Science Center at Fort Worth and its agents, employees, licensees, or assigns (collectively, the “University”) the absolute right, authority and permission to: Record my likeness on video, audio, photograph in digital or any other medium; use my name in connection with these recordings; use, reproduce, exhibit or distribute the recordings for any purpose that University, and those acting pursuant to its authority, deem appropriate, including promotional or advertising efforts, in any medium, now available to University and that may be available in the future, including but not limited to print publications, newspapers, magazines, radio, television, video or other electronic/online media.

I release, and hereby agree to indemnify, defend, and hold harmless the University, its agents, employees, licensees, and assigns (the “Released Entities”) from and against any and all claims that I, or any third party, may have now or in the future for invasion of privacy, right of publicity, copyright infringement, or defamation arising out of the publication, use, exploitation, reproduction, adaptation, distribution, or broadcast of my likeness.

I understand that all such recordings, in whatever medium, shall remain the property of University, and I further understand and agree that I am to receive no compensation of any kind, monetary or otherwise, on account of or arising from the production, publication, recording, rebroadcasting or other such use of recordings.

I am of full legal age and competent to contract in my own name. I have read this Media Release and am fully familiar with its contents and the meaning and impact thereof and agree to be bound by its terms.