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Los Angeles Unified School District

Publicity Authorization and Release*



The Los Angeles Unified  School District (“LAUSD”) requests your permission  to reproduce through printed, audio, visual, or electronic means LAUSD activities in which you  have participated  in  and  which  are related to  LAUSD’s mission  to  educate all students to their maximum potential.. Your authorization will enable LAUSD to make reasonable use of recordings of LAUSD activities in which you were involved in order to train teachers, increase public awareness, and promote continuation and improvement of education programs through the use of mass media, displays, brochures, websites, and other means of communication.


I, the undersigned, fully  authorize and  irrevocably  grant LAUSD and  its authorized  representatives the right to  print, photograph, record, and  edit, as desired, my  image, likeness, and/or voice on  audio, video, film, slide, website, or any  other electronic or printed  formats currently  developed  or which  may  be developed  (known as “Recordings”), for the purposes stated or related above or for any other lawful purpose.

My digital signature reflects that I understand and agree to the following:

That use of such Recordings will be without any compensation to me.

That LAUSD and/or its authorized representatives shall own exclusive right, title, and interest, including copyright and/or any other property interest, in the Recordings. 

That LAUSD and/or its authorized representatives shall have the unlimited right

To use the Recordings for any purposes stated or related to the above.

By filling out the information, I hereby release and hold harmless and forever discharge LAUSD and its authorized  representatives from any  and all actions, claims, damages, costs, or expenses, including attorney’s fees, which  relate to  or arise out of any use of the Recordings as specified above and to which this authorization pertains. By signing below I acknowledge that I have read and understand this Publicity Authorization and Release and I agree to its provisions.


* This form for use by adults only (persons 18 years of age or older). For students 17 years of age or

younger, the appropriate form is the “Los Angeles Unified School District Parent/Guardian Publicity

Authorization and Release”