Syracuse University

Standard Release

I hereby give permission for Syracuse University, its agents, successors, ssigns, clients
and purchasers of its service and/or products to use my photograph (whether still, film or
television) and recordings of my voice and my name in any legal manner whatsoever.

Date:_______________________________________________________________
Signature:___________________________________________________________
Parent/Guardian if underage:____________________________________________
Address: ____________________________________________________________
____________________________________________________________
City/State/Zip: ________________________________________________________
Phone:_______________________________________________________________