Form 125-343

Image Release Form

General 2024


I hereby grant Northern Virginia Community College ("NOVA") the absolute and irrevocable, worldwide and perpetual right and permission to take, use and re-use photographs, digital images, film, video and/or audio recordings of my image, likeness and voice without payment or any other consideration. NOVA will be utilizing these assets for marketing and communications purposes detailed herein only and will not be selling rights to images for monetary purposes.

NOVA shall have the right to display, reproduce, edit, modify, distribute, publish and/or broadcast the same, or in part, in any and all media, including use on the internet (social media platforms), now or hereafter, and for any lawful purpose including but not limited to instruction, promotion and advertising. Additionally, I agree to waive any right to royalties or other compensation arising out of its related use and understand that it may be used in diverse educational settings within an unrestricted geographic area.

I agree that NOVA owns the copyright to these photographs, digital images, film, video and/or audio recordings and I hereby waive any prior right to the usage of such. I also understand that once an image or video is posted online, it may be downloaded by any computer or connected device user and is no longer under sole control of NOVA. I agree to release and hold harmless NOVA, the Virginia Community College System (VCCS), the Commonwealth of Virginia, their respective officers, employees and agents from any and all claims, demands, charges or actions, including future compensation, related to such images and uses thereof by NOVA or by third-parties not permitted, intended, and/or known to NOVA.

I represent that I am over the age of 18 years, and that by signing this form, I give NOVA permission to use my name and the biographical information below that I have provided voluntarily, and I certify that I have read and fully understand this form and agree to be bound thereby.


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