Destination Public Health 2024

Tell Us About Yourself

*First Name

Preferred First Name

Middle Name

*Last Name

*Current Address

Country

Street

City

Region

Postal Code

*Birthdate

*Email Address

*Intended Entry Term

Image Release Agreement

We are excited to see you at our upcoming Destination Public Health event! This event serves as an exciting opportunity to engage with our incredibly talented student body and distinguished faculty members. Additionally, it provides admitted students with the opportunity to network and interact with each other. In an effort to capture all of the new experiences and exciting activities taking place, as well as new relationships being formed, please note that there will be a minor photography presence throughout the event. Please review the Image Release Agreement below and indicate your preference. In the event that you would like to refrain from being photographed, we ask that you not only indicate your preference below but also work to avoid the camera or gently vocalize that you do not wish to be photographed during the event (if within the proximity of the photographer). Your experience and comfort are a top priority.

*Image Consent Selection

I do grant consent ...

I do not grant consent ...

to Rollins School of Public Health, its representatives, and employees the permission to photograph me and my property while attending the Destination Public Health event. I authorize Rollins School of Public Health, its assigns, and transferees to copyright, use and publish the same in print and/or electronically. I agree that Rollins School of Public Health may use such photographs of me with or without my name for any lawful purpose, including purposes such as; publicity, promotional, educational, advertisements, and web-based content without compensation.

We are so excited for you to join us at Destination Public Health!

Once you submit your registration, an email confirmation will be sent to the email account you have provided. Please check your spam/junk folder if you do not see it in your inbox.