Middlebury

Recording Consent Form

Middlebury College preserves and disseminates recordings of select events sponsored by the College. This form must be filled out where indicated and the required I AGREE boxes must be checked in order to make an audio or video recording of any speaker, presenter, or participant. If an event includes multiple participants who are recorded, each must submit a separate release form.

Fields marked with a red asterisk (*) are required.

Note: Event organizers must also fill out the Event Recording Release Form, available at go.middlebury.edu/recording

Basic Information
:
Files must be less than 2 MB.
Allowed file types: gif jpg png.
Consent Elements
I hereby give my consent to Middlebury College, its officers, agents and employees, to record my participation in the program or event described above (hereinafter, the "Recording"). I understand and agree that: the content of the presentation as well as my name, likeness, image, and/or voice may be recorded; the Recording will be retained and archived by Middlebury College.
I understand and agree that Middlebury College holds complete ownership and copyright of the Recording in which I or my presentation, performance or contribution appears. I expressly release Middlebury College, and all persons acting under its permission or authority, from every claim, liability, or action in law, including any and all claims for defamation or copyright infringement, arising as a result of the production and distribution of the Recording of my participation in this event.
I hereby grant a non-exclusive, royalty-free license* to Middlebury College, its authorized agents and contracted parties, to retain, reproduce, and distribute worldwide this Recording for commercial or noncommercial purposes. I understand and agree that this Recording: may be indexed in Middlebury College Library's public catalog and made available for viewing via library circulation and through the College's computer network; may be recorded on or transferred to analog or digital media in formats now known or hereafter developed; may be used, distributed, edited, mixed, and duplicated without restriction, in whole or in part, by Middlebury College for publication or transmission via means now known or hereafter developed; may be used for any educational and promotional use deemed appropriate by Middlebury College
Speaker Contact Information (E-mail address required)
Address
Phone
E-mail
Agreement Clause
By checking I AGREE, you are giving consent for Middlebury College to record, retain, and distribute your presentation under the terms selected above. You are indicating your agreement to create and sign this electronic record in accordance with Chapter 20 of Title 9 of the Vermont Statutes Annotated.

Center for Careers and Internships

Middlebury College
Middlebury, Vermont 05753
Phone: (802) 443-5100
E-mail