Name: __________________________________
Date of Event: ____________________________
Description of Event:___________________________________________
At the above mentioned event, I hereby allow Trinity College to video tape and/or audio tape said event. The purpose of the taping is strictly for educational and archive purposes, and Trinity College will not sell the tape for profit.
For library purposes, it is necessary to define the borrower privileges and the usage of the tape (Check one):
____ CTW Consortium (Connecticut College, Trinity, Wesleyan)
____ Trinity College only.
Additionally, the usage of the tape is defined as one of the following (Check one):
____ Face to face educational purposes only.
or
____ Face to face educational situations, and broadcasting on the Trinity College campus cable television system (TCTV).
or
_____ Face to face educational situations, broadcast on TCTV, and an advertised campus screening where NO admission is charged.
Unless expressly stated, the College retains the right to make a protection copy.
Signature _____________________________ Date ___________________