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Oklahoma City Community College

Release Form

 

I authorize Oklahoma City Community College in Oklahoma City, Oklahoma, to use my likeness (recorded or live) for College programming or for any purpose of promotional entertainment or educational production, without compensation or other consideration. I is understood repeated use of my likeness may occur.

 

 

 

NAME:  ________________________________________________________________

 

Signature:  ______________________________________________________________

 

Date:  __________________________________________________________________

 

Signature of Parent/Guardian if subject is a minor:  ______________________________ 

 

OCCC Representative:  ___________________________________________________

 

Reason for use:  __________________________________________________________

 

Date: _____________________________  Location:  ____________________________

 

 

 

 

 

 

 

 

 

 

 

 

Oklahoma City Community College

7777 S. May Avenue, Oklahoma City, OK 73159