Missouri State University

Likeness Release Forms

In order to participate in this project, you must include a Likeness Photo Release Form. 

1. Download the Likeness form and save the file as YourLastNameBearMosaic .

2. Complete all applicable fields of the form.

3. Send the form via email (PlasterStudentUnion@MissouriState.edu) or Facebook message or turn in a printed copy to the PSU Information Desk.

3a. In either the email or Facebook message, attach your Likeness Release Form. Type #BearMosaic in the subject line. In the body of the message, include your full name (first, middle, last).

Release Form for 1-3 People     Release Form for 4 or More