Photo/Video Release Form

I, the undersigned do hereby assign to the University of Wisconsin Oshkosh absolutely, the copyright and/or the right to copyright photographs and/or video tapes of me and the right of reproduction thereof, either wholly or in part, and the unrestricted use thereof in whatever manner the University or its licensees or assignees may in their absolute discretion think fit for all and any advertising or other purposes whatsoever, including the right of necessary retouching, and tinting or work up for reproduction purposes. If you are a minor, please have your parent/guardian contact Reeve Marketing at (920) 424-2164 or wyliec@uwosh.edu for a hard copy release.
Name*
First Last
UWO Email*
Phone*
Expected Graduation Month & Year (if applicable)*
Consent*
I agree to the above conditions.

748 Algoma Blvd.
Oshkosh, WI 54901

Reeve Union