Qualtrics Survey | Qualtrics Experience Management

KU Card Center
Digital Photo Release - Personal Use

Complete this Digital Photo Release form to authorize The University of Kansas to release your digital photo, via email attachment, for your personal use.

KU ID #:

First Name:

Last Name:

Email Address:

A $3.00 administrative fee will be billed to your account through Student Accounts and Receivables.

I agree to pay the $3.00 fee.
I do not agree and cancel my request.

By typing my name below, I authorize The University of Kansas to release my digital photo to the email address above. I attest that I am the person in the photo and this electronic signature has the same legal status as a manual signature.

Signature:

Submitted: April 3, 2025 3:23 PM