Release of Information:
I understand that the university may take photographs and/or videotapes of participants
and activities. I agree that the University of Wisconsin-Platteville shall be owners of and
may use such photographs and/or videotapes relating to the promotion of future
programs. I relinquish all rights that I may claim in relation to the use of photographs
and/or videotapes. Participant contact information may also be released to other
participants so they may continue contact after the event. The contact information will
not be released for other purposes.
Signature: x
Date:
Signature of Parent or Guardian
(If Participant is under 18*): x
819 Pioneer Tower | 608.342.1628 | garrity@uwplatt.edu
1 University Plaza | Platteville WI 53818-3099 | www.uwplatt.edu
Date: