College of Business Media Release Form

I grant permission to the University of Louisville College of Business, hereinafter known as the “Media” to use my image and words (written, audio, photographs, and/or video) for use in Media publications including.

Please check all that apply

I hereby waive any right to inspect or approve the finished electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

Please check the paragraph below which is applicable to your present situation: