Name of Subject

First Name

Last Name

Name of Signer *

Name of Student (18 years or older) or Parent/Guardian of minor student

First Name

Last Name

I, the signer, authorize Boston Baptist College to record the image and voices of the subject named above, and give Boston Baptist College and all persons or entities acting pursuant to Boston Baptist College's permission or authority, all rights to use of these recorded images and voice. I understand that said images and/or voice will be used for educational, advertising, and promotional purposes in all conventional and electronic media, including but not limited to the internet, and any future media. I also authorize the use of any printed materials in connection therewith.

I understand and agree

I, the signer, authorize Boston Baptist College to use any submitted photography, audio, video, and/or written material from the subject named above for educational, advertising, and promotional purposes in all conventional and electronic media, including but not limited to the internet, and any future media. I understand and agree that these images and recordings may be duplicated, distributed with or without charge, and/or altered in any form or manner without future or further compensation or liability, in perpetuity. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. By clicking "I understand and agree", I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby releae any and all claims against Boston Baptist College, its agents or employees utilizing this materials for promotional or educational purposes.

I understand and agree