FERPA and Authorization to Release

1. I acknowledge and give permission for my Coach, the Dean of Athletics, and Athletic Department Staff to keep in correspondence with all of my instructors at Southwestern Oregon Community College in regard to my progress in classes and grades, by term, for the specific year(s) referenced on the signature page.
2. I acknowledge and give permission to the Athletic Department of Southwestern Oregon Community College to report to the NWAC or NJCAA income I have received from Athletic Talent Grants, Federal Financial Aid, Work Study, and any Athletic or Institutional campus earnings for the specific year(s) referenced on the signature page.
3. I authorize Southwester Oregon Community College to use the following identifiable information for the purpose of educational or athletic publications, promotional advertising, and/or other materials or presentations: *
   • Photographs, images, or likeness
   • Information you provide in interviews or recordings
   • Information related to your program of study, major or degree completion
   • Your name

*Students’ likeness or other information may be used in print ads such as billboards, all news media, magazines, websites, social media, college catalog or schedule, and in promotional videos that may be broadcast on television and/or Internet.

4. I authorize Southwestern Oregon Community College to give my contact information to news media for interviews, filming or photographs.
5. I acknowledge and give permission for my coach, the Dean of Athletics, and Athletic department staff to discuss my academic progress and contact information with college recruiters and professional scouts.