Please note: You must complete all fields on this form.
I, the undersigned, hereby assign all rights to the videotape and sound recording made of me on this date by Media Services.
I hereby authorize transfer of copyright ownership — as well as rights to limited reproduction, exhibition, campus broadcast and/or distribution of this program for non-commercial publicity and educational purposes — to LaGuardia Community College, City University of New York.
Agreed to and accepted:
* – Required
[contact-form-7 id=”5866″ title=”Public Performance Release Form”]