READ BEFORE SUBMITTING--
Note: This form comes under the purview of the Family Educational Rights and Privacy Act of 1974.
Principle Specifications of Records: This consent statement authorizes administrative personnel of the Department of Intercollegiate Athletics to review and disseminate to third parties information in my personal “education records” including information contained on this form, photos and any other educational information collected and/or maintained by this institution, for public relations purposes.
Purposes of Disclosure: Information obtained from these records will assist in compilation of personal information for the use in official athletic department publications, for dissemination to the news media, for purposes of nominating me for honors programs and scholarships, and for general public relations purposes.
Party or Class of Parties to Whom Disclosure
May Be Released: By signing this consent statement, I authorize administrative personnel of the Department of Intercollegiate Athletics to review and disseminate any information on this form and photos to third parties for general public relations purposes.