Washington Model Release Form 1
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University of Washington

Model Release Form
I hereby grant permission to the University of Washington (UW) and its representatives and
employees to take photographs or videos of me, and to make recordings of my voice. I give the
UW permission to use these images and recordings, as well as my likeness, name, voice, and
biographical information, as follows:

The use may include reproduction, distribution, modification, display, and performance.
The use may be in composite or modified forms and in any media, now known or later
developed, including, without limitation, newspapers, television, radio, the internet, and
the world wide web.
The use may be for any purpose throughout the world and in perpetuity, including,
without limitation, education, research, trade, advertising, and promotion.

I further acknowledge that I will not be compensated for these uses, and that the UW exclusively
owns all rights to the images and recordings. I waive the right to inspect or approve uses of th