Media Release Form

Mobile number

I.e. Photoshoot, video production.

I grant permission to the University of Adelaide to use, reproduce and communicate (in hardcopy or electronic format) any photographs, audio and/or video recordings taken of me on the date below, for the following purposes:
  • University publications and promotional activities (including but not limited to the University’s website and social media sites, promotional and marketing materials and student recruitment activities);
  • the University’s administrative and teaching purposes

I acknowledge and agree that this may result in public disclosure of my image.

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