The following form is a sample release and authorization agreement to record a lecture. If you wish to record a lecture, you should have the person sign this agreement. Click here for the form in Word format.
You may also wish to visit the Guidelines for Using Photographs of People created by the University of Arizona Web Developers Group.
Disclaimer: This is a sample form, and may not be applicable to all situations. It is provided for informational purposes only, and should not be relied upon without first seeking advice from a licensed attorney. Reliance on this form shall not subject Western Kentucky University to any liability.
Release and Authorization Agreement
I, _____________________________________ understand, consent to, and agree that Western Kentucky University may reproduce my presentation or lecture on ______________________ for broadcast via a podcast, and that the University may utilize said podcast for educational, non-profit purposes in its sole discretion, including, but not limited to, use in University and non-university publications and broadcasts, and that Western Kentucky University shall own and retain all rights to said podcast(s). Western Kentucky University shall also own and retain the rights to authorize reproduction, prepare derivative works, transmit, perform publicly, display, and authorize public performances.
Western Kentucky University hereby grants _____________________________________ a worldwide nonexclusive perpetual license to use this work for his or her own purposes, including, but not limited to, use in his or her publications, broadcasts, and podcasts. He or she shall own and retain all rights to said podcast(s). This nonexclusive license shall allow him/her to authorize reproduction, prepare derivative works, transmit, perform publicly, display, and authorize public performances.