USVI Public Records

Document text

Public Relations General Image Release I, ____________________________________________, do hereby give the University of the Virgin Islands and , (the Photographer/videographer), their assigns, licensees, successors in interest, legal representatives, and heirs the irrevocable right to use my name (or any fictional name), picture, portrait, video or photograph in all forms and in all media and in all manners, without any restriction as to changes or alterations (including but not limited to composite or distorted representations or derivative works made in any medium) for advertising, trade, promotion, exhibition, or any other lawful purposes. I waive my right to inspect or approve the video, photograph(s) or finished version(s) incorporating the video or photograph(s), including written copy that may appear in connection therewith. I hereby release and agree to hold harmless the University of the Virgin Islands and the photographer/videographer, , their assigns, licensees, successors in interest, legal representatives and heirs from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of the photographs, or in any processing tending toward the completion of the finished product, unless it can be shown that they and the publication thereof were maliciously caused, produced, and published solely for the purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn, and indignity. I agree that the University of the Virgin Islands owns the copyright of this video and/or photograph(s) and I hereby waive any claims I may have based on any usage of the video, photographs or works derived therefrom, including but not limited to claims for either invasion of privacy or libel. I am of full age (18 or older) and competent to sign this release. I agree that this release shall be binding on me, my legal representatives, heirs and assigns. I have read this release and am fully familiar with its contents. Name: (print) _____________________________ Sign:____________________________ Address: ___________________________ Date: ______________________ ___________________________________ Phone: _____________________ E-mail: ____________________________ 2 John Brewer’s Bay St. Thomas, U.S.V.I. Phone: (340) 693-1058 Fax: (340) 693-1055