Campus Welcome Center Photo Release Form
Please complete this form to grant permission for the use of your photo taken at the Campus Welcome Center.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Campus
*
Please Select
Student
Faculty/Staff
Visitor
Alumni
Other
Event or Activity Name
*
Date of Event or Photo Session
*
-
Month
-
Day
Year
Date
Are you under 18 years of age?
*
Yes
No
If under 18, Parent/Guardian Name
First Name
Last Name
If under 18, Parent/Guardian Email
example@example.com
Signature
*
Submit
Submit
Should be Empty: