MIDDLEBURY COLLEGE
Middlebury, VT 05753
Office of Language Schools and Schools Abroad
Sunderland Language Center
Middlebury College
Middlebury, VT
Please Read and Sign:
I ______________________ (student) grant Middlebury College the unrestricted right to use and publish photographs of me taken of me while enrolled at the Middlebury College summer Language Schools including photographs or video in which I may appear, for editorial purposes, or any other official college purpose whatsoever. This may include print, electronic, or any other media form, and to copyright the same. I hereby release Middlebury College and the college’s legal representative and assigns from any and all claims and liability to said photographs, video, and text.
Signature______________________________________________ Date_________________
Only fill out if the participants have not already done so.