RELEASE AGREEMENT WITH

WGVU-TV, WGVK-TV, WGVU-AM/FM, WGVS-AM/FM

& Grand Valley State University

Grand Rapids/Kalamazoo/Allendale/Kentwood/Muskegon, Michigan

 

 

In consideration of submitted content.

 

I hereby authorize you to use and to record, on film, audio/videotape, print or otherwise my name, likeness, performance on this program and to authorize others to use this recording as part of the broadcast, educational, business, and distribution services (known and unknown) of WGVU Public Media, WGVU-TV, WGVK-TV, WGVU-AM/FM, WGVS-AM/FM and Grand Valley State University.

 

Additionally, I agree to the above conditions without monetary or any other form of compensation, now and in the future.

 

WGVU Public Media, WGVU-TV, WGVK-TV, WGVU AM/FM, WGVS-AM/FM and Grand Valley State University may also use my name, likeness and biography for publicizing and promoting in relation to the services mentioned above.

 

 

 

Signature _____________________________________________________________

 

 

 

Print Name _________________________________________ Date ______________

 

 

 

 

Legal Guardian (If above is under 18 years old)

 

 

 

 Signature _____________________________________________________________

 

 

 

Print Name _________________________________________ Date ______________