Image Consent Form

Teachers,

This year many of the workshops will be featured on our event website. Photography, video and written material will be posted on the website so that students may show the results of their work to parents and fellow students. Please instruct students to collect parent signatures via the form below, which asks for consent for their son’s/daughter’s images and work to be used on this website in the future.

Please turn in the consent form during registration on March 6, 2017 at 7:30am in the University Center Ballroom.

Image Consent Form


MEDIA DAY 2017 – Image Consent Form/Release

I, (print name) _________________________________________, hereby grant permission to Colorado Mesa University Mass Communication Department to take and use: photographs and/ or digital images of me for use news releases and/or educational materials. These materials might include printed or electronic publications, Web sites or other electronic communications. I further agree that my name and identity may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Colorado Mesa University Mass Communication Department.

____________________________________________

(Date)

____________________________________________

(Signature)

____________________________________________

(School)

____________________________________________

(Address)

____________________________________________ (City, State, Zip)

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