I hereby consent to and authorize Kean University, its
officers, agents and employees to:
a) Record my likeness and voice on a video, audio, photographic, digital, electronic, print or any
other medium. This includes self-recorded media that I submit to the University.
b) Use my name in connection with these recordings.
c) Use, reproduce, exhibit or distribute in any medium (e.g. print or web publications, video
productions, news releases) these recordings for any purpose that Kean University, and those
acting pursuant to its authority, deem appropriate, including promotional or advertising
efforts.
I release Kean University and those acting pursuant to its authority from liability for any violation of
any personal or proprietary right I may have in connection with such use. I understand that all such
recordings, in whatever medium, shall remain the property of Kean University. I waive the right to
inspect or approve the finished product wherein my likeness appears.
I acknowledge that my consent to the above conditions is fully voluntary, given without coercion or
duress. I further acknowledge that I am 18 years of age or older and have read and fully understood
the terms of this release. I understand that no monetary consideration is being paid to me for my
appearance, likeness, statements or recordings. (Please initial below)
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