Atlanta Urban Debate League
Publicity Release Form
The Atlanta Urban Debate League (AUDL) will at times record or film activities for
educational and promotional purposes. In addition, it is not unusual for
newspapers, magazines, television and radio stations, as well as others, to cover
some or all of the AUDL activities.
Your participation in AUDL activities constitutes consent to the use, without
restriction of any kind, of all photographs, videotapes or film, taken of you and/or
recordings made of your voice and/or written extractions, in whole or in part. In
consideration of the value received, and without further consideration, you hereby
authorize the AUDL and any organization authorized by the director of the AUDL, to
record, photograph, videotape or otherwise capture your image, voice, and
activities.
If you have any questions or concerns at any time, then do not hesitate to discuss
them with the director of the Atlanta Urban Debate League at (404) 727-7178.
Date: ____________________________________
Please print the following information:
Student Name: _______________________________________________________________________________
Address: _____________________________________________________________________________________
Telephone Number: ________________________________________________________________________
Signature of Student: _______________________________________________________________________
If the subject is a minor (under 18 years of age) then the written consent of a
legal guardian is required:
Please print the following information:
Guardian: ____________________________________________________________________________________
Signature of Guardian ________________________________________________ Date: _______________
Relationship to Student: ____________________________________________________________________
Email Address: _____________________________________________________________________________