MEDIA RELEASE FORM

I hereby give permission to New York University to make and use photographs, videos, and/or audio recordings in which my picture or image appears for all purposes and in all media and formats now known or later created including, without limitation, all promotional materials. I hereby waive any right that I may have to inspect or approve the finished product or products or advertising or printed matter that may be used in connection with this video, audio or photographs or the use to which it may be applied.

I hereby irrevocably release and discharge NYU and its officers, directors, employees, and agents, from all claims, demands, and causes of action that I now have or in the future may have relating to the permitted use of my likeness. I agree that NYU will be the sole owner of all rights in the above-mentioned recordings. This release is governed in accordance with the laws of the State of New York. By signing below, I represent that I am over 18 years of age.
 

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