Media Release Form

I grant to, Bloom U, its representatives, and employees the right to take photographs and/or video of me in connection with the event. I authorize, Bloom U, its assigns, and transferees to copyright, use and publish the same in print or electronically. I agree that Bloom U may use such photographs and/or video of me for any lawful purpose, including for example such purposes including publicity, illustration, advertising, and web content. I have read and understand the above.