PHOTO/VIDEO/WEB RELEASE

I hereby grant to the Los Rios Community College District and its colleges full and complete

rights to the use of my words, image and voice (still photograph, audio/video recording, written

story, or words/images on the website), with or without the use of my name, in district and

college print and electronic publications or productions promoting the district, its colleges and/

or programs. This release is given without charge to or any remuneration from the Los Rios

Community College District or its colleges.

I hereby release and agree to hold the Los Rios Community College District and its colleges

free and harmless from any claims of copyright, libel, slander, invasion or violation of privacy

or other similar rights that I may hold or assert.

Name (print):

Signature:

Date:

For Office Use Only: