Nova Southeastern University

Photo/Audio Visual Release - NSU Student

I understand that there may be times that I may be photographed, filmed, or videotaped on and/or off the property of Nova Southeastern University. I hereby give Nova Southeastern University the unqualified right to take pictures and/or recordings of myself and grant the perpetual right to use my likeness, image, photo (collectively, "image"), without compensation, for broadcast or exhibition in any medium and to put the finished pictures/recordings to any legitimate use without limitation or reservation.

I hereby waive, release, and forever discharge Nova Southeastern University from and against any and all claims or actions arising out of or resulting from any use of my image.

Nova Southeastern University shall not be obligated to use, and may elect not to use, my image.

All fields are required.

First Name:  

Middle Name:

Last Name:

Email Address:



Street Address:



3. What project or program this release is for: