University of Minnesota Office of Admissions Likeness Release Form
In consideration of my appearing in one or more projects which you are preparing, I do hereby authorize the University of Minnesota, its distributees, delegates, successors, and assigns, in perpetuity, to record, distribute, and use, on film, tape, or otherwise, my name, likeness, voice, and/or performance in such projects for audiovisual purposes and for general education purposes, and without any compensation or additional consideration to me. I represent that I am of full legal age and competent to make this agreement.
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Student Name: *
Parent or Guardian Full Name:
 *
Parent or Guardian Email Address: *
Parent or Guardian Phone Number: *
I agree to release my student's name, likeness, voice, and/or performance to the University of Minnesota Twin Cities Office of Admissions to use for audiovisual purposes and for general education purposes, and know that I will not be compensated in any way for this usage. *
Date: *
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