GENERAL PHOTOGRAPHY, VISUAL IMAGE RELEASE (ADULT)

I grant to the Board of Trustees of the California State University and each of its constituent campuses (including

the Ofﬁce of the Chancellor), and their ofﬁcers, employees, agents, assigns, and volunteers (collectively “CSU”),

the irrevocable and unrestricted right and permission to take, use, re-use, publish, and republish photographic

portraits, video, or pictures of me or in which I may be included, in whole or in part, or composite or distorted

in character or form, without restriction as to changes or alterations, in conjunction with my own or a ﬁctitious

name, or reproductions thereof in color or otherwise, made through any medium, and in any and all media now

or hereafter known, including, but not limited to educational uses, marketing, public relations, websites, social

media, publications, promotions, broadcasts, advertisements, and posters. I also consent to the use of any

published matter in conjunction therewith.

I waive any right that I may have to inspect or approve the ﬁnished product or products and the advertising copy

or other matter that may be used in connection therewith or the use to which it may be applied.

I further acknowledge that I have voluntarily agreed to allow CSU to use my image without the promise of

compensation or remuneration in any form whatsoever, and I waive any claim for compensation or remuneration

of any kind for CSU’s use or publication of my image.

I release, discharge, and agree to hold harmless the CSU and each of its constituent campuses (including, but

not limited to the Ofﬁce of the Chancellor), and their ofﬁcers, employees, agents, assigns, and volunteers, from

any and all liability for claims by me, my family, or any third parties in connection with my participation, including

without limitation, any claims ensuing from or in connection with the taking of my photograph and use or

publication of my image, as well as any claims for invasion of privacy, defamation, false light, or misappropriation

of name, likeness, or image.

I am at least 18 years of age and competent to sign this release. I have read the above authorization, release,

and agreement prior to signing. I understand the legal consequences of its contents, meaning, and impact, and I

freely accept the terms. This release shall be binding upon me and my heirs, legal representatives, and assigns.

DATE:

NAME (PRINT):

SIGNATURE:

ADDRESS:

EMAIL: