Permission and Liability Waiver for Scholarship Recipients/Applicants (Part 6 of 6)

I __________________________________________grant permission for my likeness,

in all forms, to be used in all media, including but not limited to photographic images and video on Tau Lambda Education Foundation promotional materials.  Such promotional materials may include, but not be limited to: Website, Brochures, E-Newsletters and print mediums. I expect absolutely no compensation for the use of my likeness in these promotional materials.


I release all claims for copyright or ownership.  Furthermore, I authorize the Tau Lambda Educational Foundation to use my likeness, in all forms, including but not limited to name, voice, image, and biography for publicity or promotion without any compensation or payment being made for any such use or further use thereof on an unlimited basis in all markets and in all media now known or hereafter created.

I have read the release and waiver of liability and fully understand its consent. I voluntarily agree to the terms and conditions stated above.



________________________________________________                                    ___________________________
(Student Signature)                                                  (Date)



If Participant is Under 18 (must be at least 17 years of age):
I, ____________________________as legal guardian of______________________________,
                            (print guardian name)                                                                              (print student name)


consent to the above listed terms and conditions.


Parent/Guardian Signature: ________________________________ Date: _________