THE UNIVERSITY OF TEXAS AT AUSTIN
UNIVERSITY INTERSCHOLASTIC LEAGUE
COACH PHOTOGRAPHIC CONSENT AND RELEASE CERTIFICATION FORM
School ____________________________________Conference:_____ Check Event:
Address __________________________________________________ ___ Congress ___ CX Debate
City/Zip __________________________________________________ ___ LD Debate ___ Extemp
Superintendent _____________________________________________ ___ Interp ___ One-Act Play
Principal __________________________________________________ ___Academics
I hereby certify to the University of Texas at Austin and the University Interscholastic League
(University), and those acting in pursuant to its authority the following:
(a) Upon qualifying for the UIL state championship event of the above checked event, I
have distributed to and received back from the students representing my school,
completed copies of the UIL Photographic Consent and Release Form.
(b) The students representing my school have given (or their parent/guardian has given)
consent for the UIL to use, reproduce, exhibit or distribute in any medium their image
in conjunction with the UIL state championship event.
(c) Any photos provided to the UIL for use in the state championship event program
contains only those students whose image is not protected under the Family
Educational Rights and Privacy Act (FERPA).
(d) If a student representing my school wishes to not have their image used in the UIL
state tournament program or in conjunction with the UIL state championship event, I
have included their name(s) below.
______________________________________________________________________________________________________
Print Name
_______________________________________________________________________________________________________
Coach's signature Date
_______________________________________________________________________________________________________
Coach’s Phone (include area code) School Phone
The following student(s) have not consented to have their image used by the UIL in any medium in conjunction with the
UIL state championship event checked above. I understand that their image will not be included in the UIL state
championship event program.
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