MCC Media Release Form

MCC Media Release Form

Marketing & Communications, Administration Building, 3rd floor
Photos taken at MCC events can be found in the MCC Public Photo Library.
I grant permission to McLennan Community College to use my photograph, video, and/or likeness as needed for advertisements, publications, reports, videos, web pages, campus art, and other informational or promotional materials, in any media format.
Please indicate your relationship to the individual granting permission:
- Student's Full Name
  
  First NameLast Name
- Parent's Full Name
  
  First NameLast Name
- Student ID Number
- Student's Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Student's Full Name
  
  First NameLast Name
- Student ID Number
- Student's Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Full Name
  
  First NameLast Name
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Reason
- Name of Event
- Signature
Should be Empty: