Quote and Photo Release Form Personal Information First Name Last Name Pronouns Email Address Phone Number What is your affiliation with Pitzer College? What is your affiliation with Pitzer College? - Select -Current StudentAlumniFaculty/StaffOther… Enter other… What is/was your major? What year did/will you graduate? If you would like to submit a photo of yourself for use with your quote, please upload below: One file only.1 MB limit.Allowed types: gif, jpg, jpeg, png. Release Consent I hereby grant Pitzer College permission to use my quote and/or photo. This authorization covers reproduction, distribution, and display on the Pitzer College website and related promotional materials. I acknowledge that the quote and/or photo, highlighted in our contact email for approval, will be used exclusively to promote Pitzer College, its programs, and community. I understand edits may be made for quote length, while the original meaning and intent will be preserved. Proper attribution with the name provided on this form will accompany the quote’s and/or photo’s use, unless stated otherwise. Release Consent I have read and agree to the quote and photo release terms, and grant Pitzer College permission to use my quote and/or photo in the manner described therein. Date
