MEDIA SERVICES - E-101
Telephone: (718) 482-5431
PUBLIC PERFORMANCE RELEASE FORM
I, the undersigned, hereby assign all rights to the videotape and sound recording made of me on this date by Media Services.

I hereby authorize transfer of copyright ownership -- as well as rights to limited reproduction, exhibition, campus broadcast and/or distribution of this program for non-commercial publicity and educational purposes -- to LaGuardia Community College, City University of New York.

Agreed to and accepted:     
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