Student Athlete Authorization for Release of Information to Media Mobile App
This authorization DOES NOT apply to the release of any records pertaining to psychiatric, psychological or psychotherapeutic services.
- Signature Capture
- Submission Editing
- Reference Data
I understand that I may revoke this authorization by providing a written revocation of authorization to the Program Coordinator that specifically mentions release of information to MEDIA, including journalists, reporters, sports information, or any other media outlet representatives. I understand that a revocation is not effective to the extent that the University has relied on this authorization to use or disclose any information about me.