LBCC Media Release Form

  • I hereby authorize Linn-Benton Community College to record my likeness and/or works; and at their discretion to use and authorize others to use my likeness and/or works for student recruiting, fundraising and publicity purposes, without compensation. 


    I also hereby give permission to Linn-Benton Community College to use my name, image, likeness, recording, works and/or speech in publications, video, advertising, online and other media for the purpose of college communication, fundraising, publicity and promotion. I understand my image may be used to promote a variety of initiatives or aspects of the college that I may not have direct personal involvement with, and that text may be used in conjunction with my image that does not represent my personal words or views. My name, image, likeness, recording, works and/or speech may be used in a very public, widely distributed way. I do not require payment for these uses. 


    I also understand that if a photo or recording is taken of a crowd or group of people where there is no expectation of privacy, no release is needed. If the individual covered in this release is a minor, their parent or guardian may sign the release giving permission in accordance with above. 


    I hereby acknowledge that I am 18 years of age or older and have read and understood the terms of this release OR, if I am 17 years of age or younger, that my parent or guardian has signed below.

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If under the age of 18

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  • If a minor we require the signature of a parent or guardian.

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