Innovation Day Media Release FormI, the undersigned, hereby grant permission to the sponsors of Innovation Day on January 14, 2025 at the University of Washington School of Social Work to use my likeness, voice, and/or image in any and all forms of media, including but not limited to print, broadcast, and social media, for the purpose of showcasing the event. I understand that I will not receive any compensation for the use of this media and that I waive any rights to approve the finished product or to receive royalties or other compensation for its use.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.The Media Can Be Used in the Following:VideosPhotosSocial MediaNewsletters/MagazinesWebsiteTick all that applyIf other, please specifySignature * Clear Signature Print Name *FirstLastDate *Contact Information please in Following: Email *Phone *Submit