Photo Release and Publicity Authorization Form
First Name
Last Name
I hereby grant
permission to Bay Path University to use my photos, digital images,
video images, or text (including quotes) taken by the institution or its
agents for University publicity, advertising, promotional publications
purposes, Bay Path web site, testimonials on third party websites, and
social media sites.
Acknowledgment of Terms
By checking this box, I acknowledge that I have read and agree to the above statement.
Student Information
Electronic Signature: (Type your first & last name)
Print Name
Street Address
City
State
Zip Code
BPU Email
Contact Information