Nova Southeastern University. Office of Information Technologies and Media
Services. Innovation Zone (IZone). 3301 College Avenue. Fort Lauderdale, FL ...
Nova Southeastern University Office of Information Technologies and Media Services Innovation Zone (IZone) 3301 College Avenue Fort Lauderdale, FL 33314 (954) 262‐4920 GENERAL RELEASE I hereby give the unqualified right to Nova Southeastern University to take pictures and/or recordings of me and to put the finished pictures/recordings to any legitimate use without limitation or reservation. Signature: ______________________________________________________________________ Name Printed*: _________________________________________________________________ Address: _______________________________________________________________________ City: ________________________________ State: ___________ _____ Zip: ______________ Project: ________________________________________________________________________ Director: _______________________________________________________________________ Date: ______________________ *If subject is a minor under laws of state where modeling is performed: Guardian: ________________________ ____ _ Guardian: ______________________________ Address: City: State: Zip: S
