AUTHORIZATION AND RELEASEAuthorization and Release • July 29th, 2014
I, the undersigned, hereby grant to The Regents of the University of California, on behalf of the University of California, San Diego, its officers, and employees (collectively referred to herein as "UCSD") and its agents and assigns the worldwide, perpetual, irrevocable right to: (1) photograph, film, videotape and/or record the undersigned; (2) reproduce, distribute, display, create derivative works of and otherwise use the undersigned’s name, photograph, sound recording, motion picture, video and/or likeness for or in connection with UCSD’s educational mission, research mission, public relations, publicity, promotional or recruitment purposes/activities, by any means, methods and media (print and electronic) now known or in the future developed that UCSD deems appropriate.
AUTHORIZATION AND RELEASEAuthorization and Release • June 15th, 2020
Purpose of Authorization and Release. By signing this authorization and release form (the “Authorization and Release”), I, , hereby grant to Next Door Neighbors, LLC, its subsidiaries, agents, licensees, successors and assigns, including Ascension Complete (“Ascension Complete”), the right to use (i) my name (in whole or in part), voice and appearance; and (ii) audio/visual recordings, verbal recordings, written statements, pictures, portraits, photographs, and any other image or likeness of me; (iii) biographical or occupational descriptions or phrases regarding me; and (iv) incidents or anecdotes concerning me and my experience with Ascension Complete (the “Material”) in any and all manner and media now known or later developed and for all types of advertising, publicity, promotion and other trade purposes, now and for any future use, throughout the world in perpetuity. I understand that any of my protected health information that is disclosed pursuant to this Authorization and Relea
MURAL RELEASE FORM / PAINT THE VOIDAuthorization and Release • December 11th, 2020
This Authorization and Release (“Agreement”) is entered into as of (“Effective Date”) between Broke But Grand LLC d/b/a Building 180, a California Limited Liability Company and the non-profit organization Art for Civil Discourse (together “We” or “Us”) and the property owner listed below (“You” and, together with Us, the “Parties”). We are fundraising money to connect artists with businesses who want to participate in a voluntary effort to uplift our communities.
AUTHORIZATION AND RELEASEAuthorization and Release • July 29th, 2014
I, the undersigned, hereby grant to The Regents of the University of California, on behalf of the University of California, San Diego, its officers, and employees (collectively referred to herein as "UCSD") and its agents and assigns the worldwide, perpetual, irrevocable right to: (1) photograph, film, videotape and/or record the undersigned; (2) reproduce, distribute, display, create derivative works of and otherwise use the undersigned’s name, photograph, sound recording, motion picture, video and/or likeness for or in connection with UCSD’s educational mission, research mission, public relations, publicity, promotional or recruitment purposes/activities, by any means, methods and media (print and electronic) now known or in the future developed that UCSD deems appropriate.
AUTHORIZATION AND RELEASEAuthorization and Release • August 9th, 2020
I, the undersigned, hereby grant to The Regents of the University of California, on behalf of the University of California, San Diego, its officers, and employees (collectively referred to herein as "UCSD") and its agents and assigns the worldwide, perpetual, irrevocable right to: (1) photograph, film, videotape and/or record the undersigned; (2) reproduce, distribute, display, create derivative works of and otherwise use the undersignedʼ s name, photograph, sound recording, motion picture, video and/or likeness for or in connection with UCSDʼ s educational mission, research mission, public relations, publicity, promotional or recruitment purposes/activities, by any means, methods and media (print and electronic) now known or in the future developed that UCSD deems appropriate.
