Randolph-Macon College
General Promotions Release Form
In signing this release, I authorize Randolph-Macon College to copyright and publish all photographs, videos,
audio recordings, content (including quotes/testimonials/my name), and other information pertaining to me,
either partially or in its entirety, for any purpose related to the promotion of the college and its related
programs, activities and campaigns. This includes but is not limited to advertisements, brochures, recruiting
materials, news releases/articles, magazines, newspapers, newsletters, email, videos, web sites, podcasts,
mobile applications and other forms of communication.
I further agree that Randolph-Macon College will own this material and all rights pertaining to it, may
copyright the material in the college’s name, and may grant others the permission to use it as the college
deems appropriate.
__________________________________________________________________________________________
Print Name
__________________________________________________________________________________________
Signature
Date___________________________________ E-mail_____________________________________________
(If applicable) Class year___________________________ Major______________________________________
__________________________________________________________________________________________
Home address (Street)
__________________________________________________________________________________________
(City, State, Zip)
_______________________________
Name of Photographer
Are you under the age of 18? _______ If so, parent’s or guardian’s signature is required
Signature of parent/guardian (if applicable) _________________________________________
Randolph-Macon College, Marketing & Communications Office
P.O. Box 5005
Ashland VA 23005-5505
(Updated 10-11-19)
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