Use of Images or Recordings | Consent Withdrawal

Revocation of Consent to the Use of Images or Recordings

By checking the box below, I hereby revoke my consent that the photograph(s) and/or artwork(s) which I have submitted to Emily Carr University of Art and Design (“�鶹��Ƶ”), and as described below (collectively, the “Works”) may be used either in part or in whole by �鶹��Ƶ for the purpose of catalogues, exhibitions, publications, motion picture and/or television productions, electronic media and/or advertising, including the right to photograph and film the Works for any such purpose.

Further, I hereby revoke my consent for �鶹��Ƶ to publish photograph(s) taken of me, my name, and/or my Works to be used in �鶹��Ƶ’s publications, promotional literature or advertisements.

Any questions about the videotaping, photographing and audiotaping should be directed to �鶹��Ƶ Communications at communications@ecuad.ca.

I am signing this release freely and voluntarily, and in executing this release do not rely on any inducements, promises or representations made by the Releasees.

I hereby certify that I am over nineteen (19) years of age and have the right to contract in my own name. I revoke my consent as above.

I am under nineteen (19) years of age, my parent or guardian will contract on my behalf. I/we have read the foregoing and fully understand the contents thereof. I/we revoke our consent as above.

First Name

Last Name

Preferred Name

If under 19, full name of parent or guardian

Emily Carr Email Address

Must be an @ecuad.ca address

Emily Carr ID Number

Description of Works