Public Performance Release Form

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