Lorette Wilmot Library - Media Center
Audio/Video Recording Release

Lorette Wilmot Library - Media Center
Audio/Video Recording Release

  Event: ___________________________________________________________________


             ___________________________________________________________________

  Without further consideration I, ____________________________________ , hereby
                                                    (print name)

  consent that all audio and/or video recordings made of myself for Nazareth College


  may be kept by the college and used for educational and other college-related purposes.

  Nazareth College has my permission to make copies of the audio/video tape:

  (Circle one)    yes    no

  Signature  ___________________________________   Date  __________________