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University of New Haven logo

Photo Release

I hereby give permission for photographs of me, or photographs in which I may be pictured with others, to be taken for the purpose of promoting the University of New Haven.

I hereby release and discharge the University of New Haven from any and all claims arising out of use of the photos.

I have read this document and fully understand its contents.

 

Name (please print)


                                                                                               

 

 

Signature


                                                                                               

 

 

Relation to subject (if subject is a minor)


                                                                                               

 

 

Address


                                                                                               

 

 

Phone


                                                                                               

 

 

Requested by


                                                                                               

 

 

Date


                                                                                               

 

Please return the signed Photo Release Form to Jennifer Fazekas, Maxcy Hall 214.