Mountie Media Day Sign-Up

Mountie Media Day Sign-Up
About You
Name

First NameLast Name
Mountie Email
example@student.mtaloy.edu
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I am a...
Major
Please list all of the sports, clubs, organizations, etc. that you are involved with
Are you a transfer student?

Media Release
I hereby give consent for the release of my name, pertinent information, photographs, video, electronic or audio reproductions, as deemed appropriate by Mount Aloysius College and affiliated agencies and within legal constraints. I understand that this information or material may be used in publications, websites, social media, advertisements, and other media, both now and in the future. I release Mount Aloysius College or its associated agencies from any claim for such public use.
High School
Hometown Newspaper
You will receive an email confirming the time(s) you will be participating in the shoot on Monday, October 5. Please wear Mountie gear to the shoot. If you cannot wear Mountie gear, please wear something with no logos or large graphics. Health science majors are encouraged to bring their scrubs/uniforms.
Your Signature
Should be Empty:

About You