Image Release and Waiver

North Hennepin Community College
7411 85th Ave. North
Brooklyn Park, MN 55445
Email: info@nhcc.edu
Phone: 763-488-039


 

I hereby grant North Hennepin Community College, (NHCC), and/or the North Hennepin Community College Foundation, (NHCC Foundation), permission to reproduce my name, likeness, identity, voice, photographic image, videographic image, and oral or recorded statements (hereinafter “Recordings”) in any publication by NHCC and/or the NHCC Foundation intended for research, educational, promotional, fund-raising, or other related use, including webpages and web-based publications.

By signing this form, I waive and release NHCC and the NHCC Foundation and their officers, agents, and employees, from any claim or liability relating to the use of my name, likeness, identity, voice, photographic image, videographic image, and oral or recorded statements. I hereby waive any right that I may have to inspect or approve the finished Recordings. I understand that the Recordings and copyright will be the sole property of NHCC and/or the NHCC Foundation.

I acknowledge that NHCC and/or the NHCC Foundation will rely on this waiver and release in producing, broadcasting, and distributing materials containing my name, likeness, identity, voice, photographic image, videographic image or oral or recorded statements, and that I will receive no money or remuneration of any kind from NHCC and/or the NHCC Foundation related to this waiver and release or the materials covered by this waiver and release. I further consent to the public release of the Recordings for the above-stated purposes, pursuant to the consent provisions of the Family Educational Rights and Privacy Act, 20 U.S.C. 1232 et seq., if applicable.

I acknowledge and represent that I am over the age of 18, have read this entire document, that I understand the contents, meaning, and impact of this waiver and release, and that I have signed it knowingly and voluntarily on behalf of myself and/or my minor children (if applicable).

You will receive a copy of this agreement along with the information you fill in below via email when you submit this form.

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Project/Event & Student Information

What project or event does this waiver/release pertain to? NHCC Foundation Scholarship Awards...

Today's date, or the date of the project/event.

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Student Signature

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Parent/Guardian Signature

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