Adult Photo Release Form
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Child’s name Print parent or guardian name Address Phone Signature Date University Communications ■ University of Wisconsin-Madison 500 Lincoln Drive ■ 19 Bascom Hall ■ Madison, WI 53706 ■ 608/262-3571 711 State Street ■ Suite 200 ■ Madison, WI 53703 ■ 608/262-0948.
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