Ray Beets, Director of Industry Technology, 330 Avenue M ...



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Industrial Technology High School Competition Day

Photo and/or Sound Release

1. I, the undersigned, hereby grant Iowa Central Community College permission to make still or motion pictures and sound recordings, separately or in combination, and also give a production company approved by Iowa Central Community College permission to use the finished silent or sound pictures, and/or sound recordings as deemed proper.

2. Further, I so hereby relinquish to Iowa Central Community College all rights, title, interest in, an income from finished sound or silent motion pictures, still pictures, and/or sound recordings, negatives, prints, reproductions, and copies of the originals, negatives, recording duplicates and prints, and further grant Iowa Central Community College the right to give, sell, transfer, and/or exhibit the same to any individual, business firm, publication, television station, radio station or network, or governmental agency, or to any of their assignees, without payment or other consideration to me.

3. My agreement to perform under camera, lighting, and stage conditions is voluntary and I do hereby waive all personal claims, causes of actions, or damages against Iowa Central Community College and the employees thereof, arising from a performance or appearance.

_____ Yes, I agree to this agreement. _____ No, I do not want to sign this release.

Signed: ______________________________________________

(Participant)

Parent/Guardian: _______________________________________

(Must be signed is participant is under legal age.)

Address: _____________________________________________

_____________________________________________

Date: _____________________________________________

School: _____________________________________________

_____________________________________________

_____________________________________________

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