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2012 mcm 美国大学生数学建模竞赛


2012 MCM/ICM Photograph & Video Release Form
I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse outreach efforts within an unrestricted geographic area. Photographic, audio or video recordings may be used for the following purposes: ? conference presentations ? educational presentations or courses ? informational presentations ? on-line educational courses ? educational videos and DVDs ? reporting on commercial and not for profit outlets By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only. By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes. School ___________________________________________ Team Control Number __________________ Student Full Name_______________________________________________________________________ Street Address/P.O. Box___________________________________________________________________ City ___________________________________ State __________________ Zip Code________________ Country_____________________________________ Phone_______________________________________ Email Address_________________________________________________________________ Signature_____________________________________ Date____________________________ If this release is obtained from a student/presenter under the age of 19, then the signature of that students/presenter’s parent or legal guardian is also required. Parent’s Signature______________________________ Date____________________________


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