Sally The Scientist Photo Submission
Make sure to fill this out completely or your photo cannot be used!
Full Legal Guardian's Name
Names of All Minors Pictured (put "none" if no minors are pictured)
By checking this box, I hereby authorize the Marine Ecology and Biology Student Association, henceforth "MEBSA," to publish any photographs and videos taken of me and/or the undersigned minor children, and our names, for use in MEBSA’s printed publications, website, and any other lawful purpose. I release MEBSA from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize MEBSA to use their photographs, videos, and names. I acknowledge that since participation in MEBSA is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by MEBSA confers no rights of ownership whatsoever. I release MEBSA, the Coastal and Marine Institute, San Diego State University, and MEBSA members from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.
Should be Empty: