Edit, Download, and Sign the UCSD Model Image Authorization Release Form
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How do I fill this out?
To fill out this form, start by reviewing the agreement stated in the document. Fill in your personal information accurately. Don't forget to sign and date the form to complete the process.

How to fill out the UCSD Model Image Authorization Release Form?
1
Read the agreement thoroughly.
2
Fill in your name, address, and other personal details.
3
Sign and date the document.
4
If applicable, a guardian must also sign.
5
Submit the completed form as instructed.
Who needs the UCSD Model Image Authorization Release Form?
1
Students who need to authorize the use of their images for UCSD events.
2
Parents or guardians of minors who will be photographed.
3
Faculty who are organizing promotional activities requiring images.
4
Staff members involved in public relations at UCSD.
5
Participants in UCSD-sponsored events that involve photography.
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How do I edit the UCSD Model Image Authorization Release Form online?
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Open the PDF using the PrintFriendly editor.
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Make your changes simply by typing directly into the fields.
4
Review your edits to ensure all information is correct.
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Save the document to your device when finished.

What are the instructions for submitting this form?
To submit this form, you can either email it directly to the UCSD event coordinator or fax it to the department at (555) 123-4567. Alternatively, you may submit the hard copy directly to the designated office at UCSD Campus 123 Main St, La Jolla, CA 92093. Ensure all fields are filled out correctly and retain a copy for your records.
What are the important dates for this form in 2024 and 2025?
For the financial year of 2024, ensure to submit this form by July 31st for summer activities, and December 15th for events in the winter. In 2025, the same deadlines will apply to ensure timely processing.

What is the purpose of this form?
The purpose of this form is to obtain consent from individuals before using their images for promotional activities. It protects both the rights of the subject and ensures that UCSD can effectively use the media generated. This agreement is a standard procedure to maintain ethical standards in image usage.

Tell me about this form and its components and fields line-by-line.

- 1. Date: The date of signing the form.
- 2. Name: The full name of the individual signing the form.
- 3. Signature: An area to provide a handwritten or electronic signature.
- 4. Address: The complete address of the individual.
- 5. City/State/ZIP: The city, state, and ZIP code of the individual.
- 6. Guardian Name: The name of a legal guardian if the signatory is a minor.
- 7. Guardian Signature: Signature field for the guardian if applicable.
What happens if I fail to submit this form?
Failing to submit this form may result in the inability for UCSD to use your image during events or promotional activities. This can limit your participation in certain programs. It's essential to submit this form to avoid potential complications.
- Image Use Denial: Without this form, UCSD may not have permission to use your likeness.
- Participation Issues: Failure to submit may affect your participation in events.
- Legal Complications: Not having a signed release can lead to misunderstandings or disputes.
How do I know when to use this form?

- 1. Event Participation: To allow your image to be used during UCSD school events.
- 2. Promotional Materials: To authorize use in brochures, flyers, and other materials.
- 3. Website Usage: To consent for your likeness appearing on UCSD's website.
Frequently Asked Questions
What is this form used for?
This form is used to authorize UCSD to use your photograph and likeness.
How do I fill out the form?
You need to provide your personal information and sign the document.
Can minors sign this form?
No, a parent or legal guardian must sign for minors.
Why do I need to sign this form?
Signing this form grants permission for UCSD to use your image.
Is there any compensation for using my image?
No, there is no compensation provided for granting these rights.
How can I submit the completed form?
You can submit the form via email or in person as directed in the document.
Can I edit the PDF before signing?
Yes, you can edit the PDF on PrintFriendly.
What if I want to withdraw my consent later?
You should contact UCSD to discuss your options regarding consent withdrawal.
Is my personal information protected?
The form adheres to applicable laws regarding the use of your information.
Can I get a copy of the signed form?
Yes, you can save a copy after signing using the PrintFriendly editor.
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