I, the undersigned, do hereby authorize Missouri Enterprise, of Rolla, MO, its, successors and assigns those acting under its permission or on its authority, to use, and publish educational material and/or any other print material, photographs, negatives, film/videotape, audio tape and/or reproduction taken, in whole or in part, or reproduction thereof.
I further warrant that I have full power and authority to grant all authorizations and rights conveyed herein of such edited and finished photographs, negative, film/videotape, audio tape and/or reproductions and any finished products relating thereto. I further agree that this authorization and release shall be binding on my heirs, successors, executors, administrations and assigns.
(*at least the first of the radio boxes need to be checked to proceed)
Please include a signature.