Skip to main content Skip to footer content

Photo and Video Release Form


Audio Release Form

  1. I am age 18 or older, or if I am under the age of 18, my legal guardian or parent will review this form and act on my behalf.

  2. In consideration of my interest in furthering the educational purposes of Kingsborough Community College (“the College”) and the City University of New York (“CUNY”), I hereby consent to any audio recordings of myself on audiotape, digital mediums, or otherwise by Kingsborough Community College, CUNY, their agents, servants or employees.

  3. I authorize the use of such audio recordings and the use of my name, likeness, and biography for any educational or commercial purposes by the College and CUNY, their agents, servants, or employees for a period of time as the College and CUNY sees fit. Such educational and commercial purposes include, but are not limited to distribution, promotion, exhibition, marketing, and publicity in any forum, including social media, print, television, film, and websites.

  4. I waive the right to inspect or approve of any of the audio recordings and understand that Kingsborough Community College and CUNY will be the exclusive owner of such recordings.

  5. I release and hold harmless Kingsborough Community College and CUNY from liability for any and all claims by me or any third party in connection with the use of any recordings, my name, likeness, and biography as stated herein, including, but not limited to claims of invasion of privacy, rights of publicity, or other civil rights, or for any other reason in connection with the rights granted by me.
Requested By (e.g., name of instructor, staff member, administrator, etc.)*
Please select as appropriate:**
I certify that I have read and fully understand the terms of this consent and release.