Communications Consent

I hereby authorize Renascent to publish text, photographs, or video of me in Renascent’s print, digital, and video-based communications and marketing materials. This includes Renascent’s website, social media, donor, and alumni newsletters, and reports.

I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with participation in Renascent communications or marketing materials or other Renascent publications. I acknowledge and agree that publication of said text and/or photos and/or videos confers no rights of ownership or royalties whatsoever.

I hereby release Renascent, its contractors, its employees, and any third parties involved In the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation.

I hereby authorize Renascent to publish:

Text which I have reviewed and approved; and/or

Photographs taken of me, and/or

Video taken of me at today’s event.

Date photographs taken

Event where video was taken

Renascent has my permission to identify me:

Yes

Select all that apply:

as Renascent alumni

by first name only

by first name and last initial

by first name and last name

Name(Required)

First Last

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Phone

Address

Street Address City Province Postal Code

By typing your name below you are authorizing Renascent to publish in the aforementioned materials in Renascent’s website, social media, donor, and alumni newsletters, and reports.

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