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Media release

I hereby consent to the use of my photograph, image, voice, written and/or verbal statements (“Materials”) by the State Board for Community Colleges and Occupational Education, for the use and benefit of the Colorado Community College System and its colleges (“CCCS”) in its publications, videotaping, advertisements, brochures, websites, etc. (“Media”). This consent includes the unrestricted right and permission to copyright and use, reuse, publish, republish, edit, alter, exhibit, transfer and/or distribute the Materials. I agree that CCCS will be the owner of the Media and may use my Materials without my name for lawful purposes, including the above. I understand that I will not have an opportunity to review or approve uses of the Materials or Media, and I hereby waive any right to inspect or approve the same. I further acknowledge that there is no agreement or promise by CCCS to compensate me in any way for the use of my Materials in aforementioned manner. I hereby release CCCS from any and every claim, demand, right, or cause of action of whatever kind or nature, either in law or equity, arising from the use of my Materials.

I also authorize the use of any information I provide to CCCS with regard to my career, personal life, and accomplishments for use in its Media.

By signing, I acknowledge that I have read the above authorization, release and agreement, and I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representative, and assigns.

Please mark one of the following(Required)

I am over 18 years of age.

I am not over 18 years of age.

Name(Required)

First Last

Phone

Email(Required)

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I acknowledge and have read the above authorization, release, and agreement.(Required)

I acknowledge

I do not acknowledge

Please enter your name to signify you have read the above authorization, release, and agreement.(Required)

Date(Required)

If the above signatory is under 18 years of age, the parent or guardian must also complete the following:

I am the parent or guardian of the person whose image or voice may appear in the Materials and Media, and on behalf of the minor, I give my consent and authorization as set forth above.