Parenting Student Graduation Application

The Parenting Students Graduation Celebration was founded in 2010 by members of Parenting Students at UCLA who wished to acknowledge the accomplishments of students who triumphed in pursuing their degree at UCLA while raising their children. In this personalized ceremony, we will honor and celebrate you for your tenacity and commitment to your educational goals. In this family-friendly event, you and your child(ren) or dependents will wear caps and gowns as you walk or carry your child(ren) on stage to receive commendations and accolades for your success as a UCLA graduate.

If you have any questions, please contact the Students with Dependents Program at swd@saonet.ucla.edu.

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Students with Dependents Program

Consent for Publicity Release

I hereby grant to The Regents of the University of California permission to reproduce my name, likeness, identity, voice, photographic image, videographic image and written, oral or recorded statements in any publication of The Regents of the University of California intended for research, educational, promotional, fund-raising or other related use, including webpages and web-based publications, associated with UCLA. As part of our program, the UCLA Students with Dependents Program will also be taking photographs of your child(ren) during our events and activities. The pictures taken could be used for publicity in the office, printed materials, the Bruin Resource Center website, and our Facebook page UCLA Students with Dependents page (private page.)

By signing this form, I waive and release The Regents of the University of California and its officers, agents and employees, from any claim or liability relating to the use of my name, likeness, identity, voice, photographic image, video graphic image and written, oral or recorded statements or that of my child(ren).

I acknowledge that The Regents of the University of California will rely on this consent and release in producing, broadcasting, and distributing materials containing my name, likeness, identity, voice, photographic image, video graphic image or written, oral or recorded statements, and that I will receive no money or remuneration of any kind from The Regents of the University of California related to this consent and release or the materials covered by this consent and release.

I acknowledge that my pictures and statements, and those of my child(ren) made about the Bruin Resource Center, the Students with Dependents Program or student related activities on and off-campus may be used for educational, promotional, fund-raising or other related uses, and this consent and release applies to such uses.

I am an adult, 18 years or older, and I have read and understand this agreement and I freely and knowingly give my consent to The Regents of the University of California as described herein.