Request edit access
Image Release Form
Email address
By signing below, I hereby consent and agree that Washington State University has the right to take photographs, digital images, or video/film of me (and/or my property) and to use them for any and all uses in print or online media. I further consent that my name may be revealed therein or by descriptive text or commentary.
Typing your name in the space provided constitutes a valid electronic signature.
Sign Here
Your answer
Date
MM
/
DD
/
YYYY
Parent or Guardian Signature, if under 18
Your answer
By submitting this form, I hereby release to Washington State University all rights to this work, including postings to University web pages and marketing or promotional materials. I waive any rights, claims, or interests I may have to control the use of my identity or likeness in the photographs, digital images, video, or film and agree that any uses described herein may be made without compensation.
WSU students: The Family Educational Rights and Privacy Act (FERPA) and the Washington Administrative Code 504-21-050 limit the release of personally identifiable information from student educational records in the absence of a signed release from the student. The information described above may be protected by FERPA and WSU regulations, and your agreement constitutes a release, under FERPA and WSU regulations, of this information for the purposes specified above.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms