Photo/Video Release:

I understand that a photograph, video recording, audio recording or other electronic or digital method of recording my likeness taken of me by the State University of New York at Stony Brook and/or Stony Brook University Hospital (hereinafter the “University”), its  employees or agents may be used by the University for advertisement, publicity or information distribution. 

I hereby irrevocably authorize the University to copy, publish, exhibit or distribute in any legal manner, any and all images, videos,  audio recordings and electronic or digital recordings in which my likeness appears. I further waive any right to inspect or approve any  advertisement, publication or information piece in which my likeness appears. 

I agree that the University is the exclusive owner of all copyright and other rights in such photographs, recordings or videotapes and  it may use and license such photographs, recordings or videotapes in any manner and in any media now known or hereafter  discovered or developed. 

I hold the University harmless and release and discharge the University, its employees and agents from any claims, demands or causes of  action which I, my heirs, representatives, executors, administrators or other persons acting on my behalf or on behalf of my estate have  or may have by reason of this authorization. 

Accident Waiver and Release of Liability

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN AND/OR VOLUNTEERING AT THIS ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them or because of their possible liability without fault.

I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity or event.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event.

In consideration of my application and permitting me to participate in this event, I hereby take the actions noted below for myself, my executors, administrators, heirs, next of kin, successors, and assigns vis-à-vis the following ENTITIES OR PERSONS: Stony Brook University, and/or their directors, officers, employees, volunteers, representatives, and agents, the activity or event holders, activity or event sponsors, and activity or event volunteers.

(A)  I WAIVE, RELEASE, AND DISCHARGE the entities or persons mentioned in this paragraph from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event;

(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise.

I acknowledge Stony Brook University and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on their behalf.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity or event.

The Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT; AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.