I hereby grant permission to the University of Waterloo and authorize the use by the University of Waterloo, its officers and employees, of my image, voice, and/or likeness.
I further grant to the University of Waterloo and its representatives the right to reproduce, use exhibit, display, broadcast, and distribute and create derivative works of these images and recordings in any media now known or later developed as well as my name, story, personal information including name (first name only for undergraduate students) for promoting, publicizing or explaining the University of Waterloo and its activities and for administration, educational, or research purposes. I acknowledge that the University of Waterloo owns all rights to the images and recordings.