THE UNIVERSITY OF TEXAS ______________
TALENT RELEASE FORM

For valuable consideration, I do hereby authorize The University of Texas , and those acting pursuant to its authority to:

1. Record my participation and appearance on video tape, audio tape, film, photograph or any other medium.
2. Use my name, likeness, voice and biographical material in connection with these recordings.
3. Exhibit or distribute such recording in whole or in part without restrictions or limitation for any educational or promotional purpose which The University of Texas , and those acting pursuant to its authority, deem appropriate.

Name: _______________________________________________

Address:______________________________________________

Phone No.:____________________________________________

Signature:_____________________________________________

Witness Signature:______________________________________

Parent/Guardian Signature (if under 18):_____________________

Agreements, Forms and Samples | Intellectual Property Section

University of Texas System Office of General Counsel
Comments to intellectualproperty@utsystem.edu
Last updated: November 28, 2001