UCSC Photo Release - Group
I give the University of California, Santa Cruz, the absolute right and permission to use my photograph in its promotional materials and publicity efforts. I understand that the photographs may be used in a publication, print ad, direct-mail piece, electronic media (e.g., video, CD-ROM, Internet/WWW), or other form of promotion. I release the university,the photographer, their offices, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use. I am 18 years of age or older.
Course Title & Number _______________________________________________________
Instructor's Name _________________________________________________________
Signature __________________________________
Students:
Print Name Signature Date
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Please return completed form(s) by campus mail to: Jim MacKenzie/Publications Office/University Relations/Carriage House.
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