MCO Media Release Waiver

YesNo

Your Name:*

First NameLast Name

Name of Parent/Legal Guardian:*

First NameLast Name

Name of Minor:*

First NameLast Name

Phone Number:*

Please enter a valid phone number.Format: 000-000-0000.

Email:*

example@example.com

Parent/Legal Guardian Email:*

example@example.com

Date:*

TMCC Department/Class Name/Photo Location:*

YesNo

I authorize TMCC’s Marketing and Communications Office to use my name or likenesses for publicity, advertising and/or campus printed and online publications. I understand that my names and/or likeness may appear in the media or various publications for an indefinite date, unless otherwise specified.

I authorize TMCC’s Marketing and Communications Office to use my child’s name and photographs or likeness if the person is under 18, for publicity, advertising and/or College printed and online publications. I understand that my child’s name and/or likeness may appear in the media or various publications for an indefinite date, unless otherwise specified.

Electronic Signature Agreement

By pressing submit, I am signing this agreement electronically and hereby grant the Board of Regents of the Nevada System of Higher Education on behalf of the Truckee Meadows Community College (hereinafter “the College”) permission to interview me and/or to use in perpetuity my likeness and voice in photograph(s) and recordings—audio, visual, and both—in any and all of its publications, in any and all other media, current or future, controlled by the College, and for any other use by the College. I acknowledge the College’s right to edit, crop, or treat the photographs and/or recordings at its discretion. I will make no monetary or other claim against the College for the use of the interview or my likeness or voice. I hereby release the College from any and all claims for any damages or other relief whatsoever related to the College’s use of my interview, my likeness or voice.

Please verify that you are human:*

Sender Name: