UTM Media Consent Form | Institute for the Study of University Pedagogy

I hereby authorize the University of Toronto to take my photograph, video and/or record my voice and grant the University of Toronto all rights to these sounds, still or moving images in any medium for educational, promotional, marketing, advertising, or other such purposes that support the mission of the university.

I understand and acknowledge the recordings may or may not be used in whole or in part, composite or retouched in character or form, in colour or otherwise, made through any media.

I understand that I do not own the copyright of the recordings and agree that all prints, negatives, positives and recordings belong to the University of Toronto.

I was not paid to appear in this photograph, video or for my voice recording and will not receive any fees for the use of this photograph, video or recording in the future.

I certify that I am not a minor (under 18), and am free and able to give such consent.

Full Name

Email

Date of Birth

I have read and understood the above media release. I affirm that I am at least 18 years of age.

If I am under 18 years of age, I have obtained the required consent of my parent guardian.

Name of parent/guardian