Media Release Form

Please read through the media release below, print the form (available as a PDF file [[Media:MediaReleaseForm.pdf | in English]] or [[Media: MediaReleaseFormSpanish.pdf | in Spanish]]) and return a signed copy using one of the following ways: Vicki Bennett  University of Colorado at Boulder Department of Computer Science Campus Box 430 Boulder, CO 80309-0430
 * mail: send hard copy of signed form
 * email: send electronic version to [mailto:Vicki.Bennett@Colorado.EDU Vicki]
 * submitting it to your child's teacher

Media Release text
This Media Release Form is for the Scalable Game Design Project at the University of Colorado. This project explores how students can be motivated to learn about computer science by learning how to make their own games. Your children can participate in the research even if you prefer not to sign this form. Signing this form allows us to take pictures and video of your children during class activities.  I grant permission to the Scalable Game Design Project and its associates, to use my children’s name and/or photographs or video footage for use in Scalable Game Design and Agentsheets publications such as printed or electronic brochures, newsletters or display boards, such as the Scalable Game Design Wiki, the AgentSheets web site, websites such as TED or other electronic forms or media. I hereby waive any right to inspect or approve the finished images in printed or electronic form, now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph or video footage. I hereby agree to release, defend, and hold harmless the Scalable Game Design Project and its associates, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper or via electronic media, from and against any claims, damages or liability arising from or related to the use of the photographs or video including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution. If you agree, please check the paragraph below and choose what information release you grant, fill out the information, and sign below:  _____ I am the parent or legal guardian of the below named child. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.  _____ I agree to the release of both the name and images (photographs & video) of my child _____ I agree to the release of images (photographs & video) but not the name of my child  Student Name: ________________________________________ 	Date: ____________________ School Name: ________________________________________________________________________ Parent/Guardian Name (please print): _____________________________________________________<BR> Email Address: __________________________________ Phone Number: ________________________<BR> Student Signature: ____________________________________________________________________<BR> Parent or legal guardian Signature: _______________________________________________________<BR> (if under 18 years of age)

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More information about the project

 * Scalable Game Design Wiki
 * Agentsheets, the game and simulation authoring software being used in the project
 * Other useful forms: Mileage Reimbursement