LSMAMP Summer Bridge Registration

Student Information

Parent/Guardian Information

Alternate Emergency Contact

Photography Release

I do hereby give permission to Jackson State University, its agents and employees; to make use of photographs and images of my child in advertising and promotion activities for JSU Events Management. I expressly agree to and grant to Jackson State the authority to use such photographs or images on the university’s and/or printed materials, including but not limited to brochures, informational videos, newsletters, etc., and such uses are without further notice or obligation to me.