Please submit a completed publicity authorization form.

I authorize Tusculum University to use my photographs and likeness on social media and the university website, as well as any form of print, video or audio promotional media in compliance with all university rules and regulations as identified and outlined in the Tusculum University Brand Guide, Tusculum University Student Handbook and all other
university rules and regulations.

Complete the online form below.

You may also submit by emailing to as an attachment either the completed fillable PDF electronic form or manually filling out the PDF print version.

  • MM slash DD slash YYYY
  • (Daytime)
  • By checking 'Agree' below and typing in my first and last name, I affirm granting Tusculum University the authorization indicated above to release information about me and/or to use my likeness.
  • Please type your first and last name below to acknowledge your authorization.