Photo/Video Consent

By submitting this form, I hereby grant permission to the University of Kentucky and its affiliates and subsidiaries, including but not
limited to the UK Alumni Association, UK Athletics Association and UK Research Foundation, to interview, photograph and/or videotape me, or my minor child, and/or to supervise any others who may do the interview, photography and/or videotaping and/or to use and/or permit others to use information from the aforementioned interview and/or the aforementioned images in educational and promotional activities for the following without compensation:

✓ University Educational Publications/Videos

✓ University Electronics Publishing (e.g. World Wide Web)

✓ University Promotion/Advertising

✓ Local/regional/national news media (w/permission of the University of Kentucky)

age fieldset

If you are under the age of 18, please inform the person(s) taking photos or videos. You will be provided with a paper form that requires the signature of your parent or guardian.