Template: Release Form for Use of Photograph/Video Recording (fill in all of the bracketed areas as appropriate to your project, then delete the brackets and these instructions) [Project title] Release Form for Use of Photograph/Video Recording [Your name] [Supervisor’s name if applicable (e.g., thesis advisor)] Colorado College Department of [fill in department name] [Phone number of department secretary, beginning with “719”] [Your email address] Please print: Name of Participant: __________________________________________________ Address: ____________________________________________________________ I hereby give my permission to [your name] to use any photos or video recording material taken of myself during [his or her] research on [title of project]. The photos and videotape material will only be used for research purposes and for the presentation of the research. [Describe how the research will be presented.] I understand that [your name] has p...
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