Photo and Video Release Form: Faculty of Education

By completing this form, you agree that Wilfrid Laurier University may use the name, likeness and/or biographical information provided. You also release and forever discharge Wilfrid Laurier University, its agents, officers and employees from any and all claims and demands arising out of or in connection with the use of said images or biographical information, including but not limited to, any claims for invasion of privacy or defamation.

The information you provide in this form will be kept on record until you graduate from programming (BEd or MEd) at The Faculty of Education, withdraw from said programming, or until you revoke permission in writing addressed to the Dean's Office at