Permission Form for Use of Recordings of Campus Events

Presentations and performances by scholars or performing artists may be recorded by ___________________ [enter name of institution]staff. These recordings are then archived in the Claremont Colleges Digital Library. This permission form governing recording rights and further duplication or use of these recordings will be filed in the Libraries of the Claremont Colleges. Any questions should be directed to the Libraries.

I, ____________________________, scholar, student, performer, or director of the ______________________________ (ensemble), give the staff of ______________________________ [enter the name of the institution] permission to (check one or both)

_____record

_____videotape

my/our presentation or performance given ______________________________ (date) at _______________________________[enter name of institution] ______________________________ [enter presentation of performance location] ________________________________________ In addition, I grant the Claremont Colleges Digital Library permission to make copies of this recording or videotape for requestors as noted below. Please check all appropriate choices:

_____ Presenters, performers, or ensemble members

_____ Student/faculty/staff person of ____________________________ [enter name of institution]

_____ Off-campus person

_____ Educational use (e.g. examples for instructional website)

_____ Promotional use by ________________________ [enter name of institution] (website, compilation CD or DVD, etc.)

Signed ______________________________________________ Date _____________________

Additional comments: