I hereby grant Oklahoma Baptist University the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of university-related photographs or video images of myself for use in connection with the activities of the university or for promoting, publicizing or explaining the school or its activities of the university. This grant includes, without limitation, the right to publish such images in the university’s student newspaper, alumni magazine, on the university’s website, and in public relations/promotional materials, such as marketing and admissions publications. These images may appear in any of the wide variety of formats and media now available to the university and those that may be available in the future, including but not limited to print, broadcast, video and other electronic/online media.

All photos/videos taken are without compensation to me (the undersigned). All electronic files and prints are owned by the university.

Contact information collected is only used to verify your identity. Information collected in this form will not be shared with other parties or used for any other purposes.