This consent statement authorizes administrative personnel of the Department of Intercollegiate Athletics at Chapman University to review and disseminate to third parties information on this form and other education information contained, collected or maintained by Chapman University, for the purposes of public relations and publicity. The information on this form will assist in compilation of personal information for use in official departmental publications for the media and public, for the purposes of nominating me for honors programs, scholarships and awards, and for other public relations purposes deemed appropriate by officials of the Chapman University Department of Intercollegiate Athletics.
Also, by submitting this online form, I irrevocably authorize Chapman University, its employees, and its agents, to use my name, picture, and likeness as recorded by the University prior to the date of this Release for any purpose that the University deems appropriate, including promotional or advertising efforts. I specifically authorize the University, its employees, and its agents, to use, reproduce, exhibit, or distribute my name and likeness for such purpose in any communications medium currently existing or later created, including without limitation print media, television, and the Internet.