Model Release
ADVERTISEMENT
1
2Institutional Marketing
Dept. 3226 • 1000 E. University Avenue • Laramie, WY 82071
(307) 766-2379 • fax (307) 766-6729 • e-mail: uwmktg@uwyo.edu •
MODEL RELEASE
_______________________
_________________ (______), or
I,
Print full name
Age
*
their parent/legal guardian do hereby authorize the University of Wyoming, its agents, successors, and
assigns, to use and reproduce photograph(s), audio, or video in which I appear in official UW
publications, and I waive any right that I may have to inspect and approve said photograph (or any copy
that may be used in connection therewith) or to receive compensation for the use of said photograph,
audio or video.
_____________________________________
______________________________________
Sign full name
Parent or Guardian
______________________________________
* If under the age of 18, signature of a parent or legal
guardian is required to participate.
Street or box number
______________________________________
City, state, zip code
_______________________________________
Phone
_______________________________________
Date
Sovereign Immunity. The University of Wyoming does not waive its sovereign immunity or its governmental immunity and
fully retains all immunities and defenses provided by law.
Status: freshman
; sophomore
; junior
; senior
; graduate
; law
;
doctoral
; faculty
; staff
; administration
; student family
;
other
.
Area(s) of Study:
.
Home Town:
.
E-mail address: _________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal