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Boise State Extended Studies
Photo/Video Release Form
Photo/Video Release Form
Extended Studies Marketing and Communications Photo/Video Release Form
Name
(Required)
First
Last
Email
(Required)
Select the Extended Studies program you are affiliated with
(Required)
Boise State Online
Boise State Public Radio
eCampus Center
Community Education Outreach
Concurrent Enrollment
K-12 Professional Development
Osher Lifelong Learning Institute
Professional and Continuing Education
Summer Sessions
Other
Select your affiliation with Boise State University
(Required)
Student
Faculty/Staff
Other
Consent
(Required)
I agree to grant Boise State University permission to obtain and use my image, likeness, voice, name, written testimony, and/or biographical information for the promotion and advancement of the university.
I grant Boise State University permission to obtain and use my image, likeness, voice, name, written testimony, and/or biographical information for the promotion and advancement of the university. I understand that the photos, videos, or materials created or commissioned by Boise State which include my image, likeness, or voice are the property of Boise State and I waive the right to inspect or approve those materials prior to distribution or to receive compensation for the use of those materials. This permission applies to all markets and in any media.
Age Verification
Are you 18 years or older?
(Required)
Yes
No
NOTE: If you are under the age of 18, the consent of your parent or guardian is also required
Parent or guardian name
First
Last
Parent or guardian email
Parent or guardian consent
I agree to grant Boise State University permission to obtain and use my dependent’s image, likeness, voice, name, written testimony, and/or biographical information for the promotion and advancement of the university.
I grant Boise State University permission to obtain and use my dependent’s image, likeness, voice, name, written testimony, and/or biographical information for the promotion and advancement of the university. I understand that the photos, videos, or materials created or commissioned by Boise State which include my dependent’s image, likeness, or voice are the property of Boise State and I waive the right to inspect or approve those materials prior to distribution or to receive compensation for the use of those materials. This permission applies to all markets and in any media.