MARICOPA COUNTY COMMUNITY COLLEGE DISTRICT
2411 West 14th Street, Tempe, AZ 85281-6942
PERMISSION TO USE PHOTOGRAPH & QUOTE
I authorize the Maricopa Community Colleges (including its colleges and related entities) to use photographs or videos of me and the quote from me indicated below for educational or promotional purposes in any type of media, including its website. The photographs, videos or the quote may not be used for profit without my express permission. I understand that I will not be paid or rewarded for providing this authorization.
The quote to be used is the following:
Signature: ___________________________________
Printed Name: _________________________________
Date: ________________________________________
Parent’s Signature: _____________________________
MC-PUPQ (04/01/10) Page 1 of 1
MARICOPA COUNTY COMMUNITY COLLEGE DISTRICT
2411 West 14th Street, Tempe, AZ 85281-6942
PERMISSION TO USE PHOTOGRAPH & QUOTE
I authorize the Maricopa Community Colleges (including its colleges and related entities) to use photographs or videos of me and the quote from me indicated below for educational or promotional purposes in any type of media, including its website. The photographs, videos or the quote may not be used for profit without my express permission. I understand that I will not be paid or rewarded for providing this authorization.
The quote to be used is the following:
Signature: ___________________________________
Printed Name: _________________________________
Date: ________________________________________
Parent’s Signature: _____________________________
MC-PUPQ (04/01/10) Page 1 of 1