By clicking the "Submit This Form" button I hereby give my digital signature and consent for the information I have provided, my image and likeness to be videotaped, audiotaped, or photographed for the following uses: educational/instructional media, recruitment/outreach media, development media, newsworthy media and documentation I further authorize West Virginia University and/or West Virginia University Hospitals, Inc., and their component parts, to use this electronic media and/or photographs in any manner�whole, or in part
This waiver includes usage of this media in any way deemed appropriate, which may include electronic and photographical reproductions thereof for the production of educational, instructional, promotional, or institutional advancement materials which support the educational and outreach activities of West Virginia University. I hereby waive any right I may have to inspect or approve any use of this electronic media and/or photographs and I release West Virginia University and its component parts from all liability which could result from its use.