Adult Contributor Consent & Release Form
Permission for use of photographs/video/recordings of the Contributor taken by the University of Cambridge
(“University”) at or for the Event/Project (“Recordings”) and for use of digital material contributed by the
Contributor to the Activity/Event/Project (“Contributor Digital Material”) (together, the “Contribution”)
Event/Project
Date of the Event/Project
Event/Project Organiser
Contact details of organisers
Thank you for contributing to the Event/Project. By signing this Form You agree to the following terms.
1. I consent to the making and use of the recording of my contribution to and participation and performance
in the Event/Project, the nature of which has been fully explained to me. I understand that if I am unsure
of the meaning of the terms set out in this Form, the Event/Project Organiser can explain them to me.
2. I grant the following:
(a) my consent to the University and those authorised by the University to make and use images and
recordings of me and my performance (my non-property performer’s right) at or for the above
Event/Project taken by photograph and/or video/film and/or sound recording (“Recordings”) and a
licence of my property performer’s right to use the Recordings, and
(b) a non-exclusive licence to the University and those authorised by the University to copy and make use
of digital material I have prepared and submitted to the Event/Project, including but not limited to
material I refer to or include in my performance in the Recordings (“Contributor Digital Material”)
for the specific purpose of making and disseminating the Recordings and Contributor Digital Material in the
first instance to attendees of the Event/Project and by all means and in all media (in whole or in part,
transcribed or otherwise) in perpetuity throughout the world for the non-commercial educational and
promotional purposes of the University, such use including but not limited to print and online publication
and broadcast, e.g. in University websites and social media such as YouTube, Facebook, Instagram and
Twitter.
3. To the best of my knowledge and belief, my Contribution will not infringe the copyright or any other rights
of any third party or contain any defamatory material. Should my Contribution contain third party material
such as others’ text or still or moving images or of anyone in an image, the copyright/personal data in that
content may belong to someone else, which means that I agree that I have obtained their
permission/licence/consent as applicable to include it in my Contribution and allow it to be used by the
University for the specific purposes set out in Clause 2.
4. I understand that I have the right to withdraw this consent and the use of my Contribution at any time by
emailing the Event/Project Organiser named above, in which case the Contribution will not be used in
future publications but may continue to appear in copies of the Contribution already in circulation.
5. The information provided in this Form is to be used for the purpose described above and is managed and
stored by the University with my consent. Further information about the University’s use of my personal
information is at: https://www.information-compliance.admin.cam.ac.uk/data-protection/general-data
.
Contributor name
Contributor signature
Contributor email
Date
1 of 1 November 2020