Testimonial Release Form


Name:
E-mail:
By providing your e-mail address, you are authorizing ODE to send you relevant information and/or updates electronically. For more information about TTU's Privacy Policy, visit www.ttu.edu/policy/privacy.php.
Testimonial:
Please upload a current picture of yourself.

I, the undersigned, give Texas Tech University, Texas Tech University Health Sciences Center and/or Texas Tech University System (herein, "Texas Tech"), its employees, designees, agents, independent contractors, legal representatives, successors and assigns, and all persons or departments for whom or through whom it is acting, the absolute right and unrestricted permission to take, use my name, testimonial and biographical data and/or publish, reproduce, edit, exhibit, project, display and/or copyright photographic images or pictures of me or my child(ren), whether still, single, multiple, or moving, or in which I (they) may be included in whole or in part, incolor or otherwise, through any form of media (print, digital, electronic, broadcast or otherwise) at any campus or elsewhere, for art, advertising, recruitment, marketing, fund raising, publicity, archival or any other lawful purpose.

I waive any right that I may have to inspect and approve the finished product that may be used or to which it may be applied now and/or in the future, whether that use is known to me or my child(ren) or unknown, and I waive and right to royalties or other compensation arising from or related to the use of the image or product.

I release and agree to hold harmless Texas Tech, its Board of Regents, officers, employees, faculty, agents, nominees, departments, and/or others for whom or by whom Texas Tech is acting, of and from any liability by virtue of taking of the pictures or using the testimonial/biographical data, in any progressing tending towards the completion of the finished product, and/or any use whatsoever of such pictures or products, whether intentional or otherwise.

I certify that I am:
at least 18 years of age.
under 18 years of age, that I am joined herein by my parent or legal guardian.
I certify that this release is signed voluntary, under no duress, and without expectation of compensation in any form now or in the future.
By initializing below, you are signing the Photo/Testimonial Release Form.



State of Texas | Statewide Search | Texas Homeland Security | SAO Fraud Reporting | State Agency Energy Savings Program | General Policy Information
TTU Home | TTU System | TTU Health Sciences Center | Angelo State University | Contact Us | Recommended Web Site Viewing Requirements | Compliance Hotline