Photo release

Photo Release

I ,(please print) __________________________________________, give Rutgers permission to record my image and/or voice and grant Rutgers all rights to use these recordings or photographs in any medium for educational, promotional, advertising, or other purposes that support the mission of the university. Signature ________________________________________________________ Date _______________ Address _____________________________________________________________________________ Phone number ________________________________________________________________________ Email _______________________________________________________________________________ Notes _______________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

UNIVERSITY STUDENT/ALUMNUS Please complete if the person in the recording is a Rutgers student or alumnus College _________________________ Major __________________________ Class ______________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F

OR DEPARTMENTAL USE Project number _________________________ Project name __________________________________ Project manager _________________________ Photographer/Videographer ______________________ Location ____________________________________________ Gender: Male _______ Female ______ Hair color/style _________________________ Glasses _____ Jewelry _________________________ Shirt color/style _________________________ Pants color/style _______________________________ General model description _______________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________