Department of Wellness Media Request
Name
First Name
Last Name
CWID
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Date of coverage
-
Month
-
Day
Year
Time of coverage
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Purpose of media request.
What will the media be used for?
Subject and requested location.
Please be specific.
Class
(catalogue name and number) or OSU Department you represent
I understand:
The use of my camera/video camera is for the sole purpose of an OSU department, organization, or class. Any other news agency must coordinate their visit through Department of Wellness Marketing.
As the photographer or videographer, I am responsible to provide my subjects or models with any necessary release forms.
Photos/Videos are limited to common, public areas of the facility. Prohibited areas include bathrooms, locker rooms, all pool areas.
Do not photograph scheduled classes without advance permission from the Fitness Coordinator.
Members and guests participating in individual workouts or classes cannot be photographed/recorded except as they appear in the background of the facility. No close-up shots. Exception: models working directly for you.
Inappropriate or unprofessional photography will result in termination of your session, content confiscated, and OSU Police Department contacted.
You must show your OSU ID card before a pass can be issued.
Signature
Today's Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: