Free photo release form 16
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I hereby authorize Florida Atlantic University (University) and those acting pursuant to its
authority to: (i) record my likeness and/or voice on a video, audio, photographic, digital,
electronic or any other medium; (ii) use my name and biographical material in connection with
such recordings; and (iii) use, reproduce, exhibit, and/or distribute my name, biographical
material, and such recordings in any medium (e.g., print publications, video, internet, etc.) for
promotional, advertising, educational, and/or other lawful purposes. I release and waive any
claims or rights of compensation or ownership regarding such uses and understand that all such
recordings shall remain the property of the University. I certify that I am 18 years of age or older
or that my parent/guardian has signed below.

☐ Student ☐ Faculty ☐ Staff ☐ Other
Name of Participant (please print): _____________________________________________________
Participant Signature: ______________________