{ "document_id": 14621, "filename": "KSU_SOAR_Media_Release_Form.pdf", "engine": "paddleocr_vl", "source_run_id": 14731, "generated_at": "2026-11-04T02:55:36+00:00", "page_count": 1, "counts_by_type": { "figure": 1, "footer": 1, "form_field": 6, "header": 1, "heading": 2, "text": 9 }, "timings": { "total_ms": 2056, "structure_ms": 1963, "text_layer_ms": 12, "build_ms": 2 }, "pages": [ { "document_id": 14621, "page": 1, "width": 612, "height": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 612, "height_pt": 792, "engine": "paddleocr_vl", "source_run_id": 14731, "item_count": 20, "counts_by_type": { "figure": 1, "footer": 1, "form_field": 6, "header": 1, "heading": 2, "text": 9 }, "build_ms": 2, "items": [ { "id": "p1.1", "order": 1, "type": "figure", "bbox": { "l": 41.76, "t": 749.76, "r": 156.24, "b": 666.72 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" }, "reading_order": 0 }, { "id": "p1.2", "order": 2, "type": "header", "bbox": { "l": 345.6, "t": 714.48, "r": 568.8, "b": 666.72 }, "text": "BRAND IDENTITY AND UNIVERSITY RELATIONS\nHUME HALL #103 | 400 EAST MAIN STREET\nFRANKFORT, KY 40601 | (502) 597-6286\nnews@kysu.edu | KYSU.EDU", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 1 }, { "id": "p1.3", "order": 3, "type": "heading", "bbox": { "l": 41.04, "t": 639.36, "r": 192, "b": 625.44 }, "text": "PHOTO RELEASE FORM", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 2 }, { "id": "p1.4", "order": 4, "type": "text", "bbox": { "l": 39.84, "t": 618.48, "r": 569.52, "b": 500.16 }, "text": "I grant permission to Kentucky State University (KSU), its employees and agents, to take and use visual/audio images of me. Visual/audio images are any type of recording, including but not limited to photographs, digital images, drawings, renderings, voices, sounds, video recordings, audio clips or accompanying written descriptions. KSU will not materially alter the original images. I agree that KSU owns the images and all rights related to them. The images may be used in any manner or media without notifying me, such as university-sponsored Web sites, publications, promotions, broadcasts, advertisements, posters and theater slides, as well as for non-university uses. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used or to be compensated for them.", "reading_order": 3 }, { "id": "p1.5", "order": 5, "type": "heading", "bbox": { "l": 41.28, "t": 477.12, "r": 133.44, "b": 462.48 }, "text": "Photo Release", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 4 }, { "id": "p1.6", "order": 6, "type": "text", "bbox": { "l": 41.76, "t": 449.04, "r": 567.6, "b": 435.84 }, "text": "Date: ___", "children": [ { "id": "p1.6.1", "order": 7, "type": "form_field", "bbox": { "l": 79.56, "t": 456.446, "r": 567, "b": 438.36 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Date", "source": "acroform", "label": "Date: ___", "label_source": "parent_text", "label_ref": "p1.6", "text_offset": 6, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 5 }, { "id": "p1.7", "order": 8, "type": "text", "bbox": { "l": 40.32, "t": 424.56, "r": 569.04, "b": 383.28 }, "text": "I release KSU and its employees and agents, including any firm authorized to publish and/or distribute a finished product containing the images, form any claims, damages or liability which I may ever have in connection with the taking of use of the images or printed material used with the images.", "reading_order": 6 }, { "id": "p1.8", "order": 9, "type": "text", "bbox": { "l": 41.04, "t": 372, "r": 568.8, "b": 344.64 }, "text": "I am at least 18 years of age and competent to sign this release. I have read this release before signing, I understand its contents, meaning and impact and I freely accept the terms.", "reading_order": 7 }, { "id": "p1.9", "order": 10, "type": "text", "bbox": { "l": 40.32, "t": 324.96, "r": 568.08, "b": 310.8 }, "text": "Name (Please print): ___", "children": [ { "id": "p1.9.1", "order": 11, "type": "form_field", "bbox": { "l": 154.44, "t": 331.853, "r": 567, "b": 313.32 }, "text": "", "attrs": { "field_kind": "text", "label": "Name (Please print): ___", "pdf_field_name": "Name Please print", "source": "acroform", "label_source": "parent_text", "label_ref": "p1.9", "text_offset": 21, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 8 }, { "id": "p1.10", "order": 12, "type": "text", "bbox": { "l": 40.8, "t": 288.72, "r": 568.56, "b": 275.04 }, "text": "Signature: ___", "children": [ { "id": "p1.10.1", "order": 13, "type": "form_field", "bbox": { "l": 104.52, "t": 298.705, "r": 567, "b": 277.32 }, "text": "", "attrs": { "field_kind": "signature", "pdf_field_name": "Signature", "source": "acroform", "label": "Signature: ___", "label_source": "parent_text", "label_ref": "p1.10", "text_offset": 11, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 9 }, { "id": "p1.11", "order": 14, "type": "text", "bbox": { "l": 41.04, "t": 253.44, "r": 568.32, "b": 238.32 }, "text": "Signature of parent of guardian if under 18 years of age: ___", "children": [ { "id": "p1.11.1", "order": 15, "type": "form_field", "bbox": { "l": 335.76, "t": 263.276, "r": 567, "b": 241.32 }, "text": "", "attrs": { "field_kind": "signature", "pdf_field_name": "Signature of parent of guardian if under 18 years of age", "source": "acroform", "label": "Signature of parent of guardian if under 18 years of age: ___", "label_source": "parent_text", "label_ref": "p1.11", "text_offset": 58, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 10 }, { "id": "p1.12", "order": 16, "type": "text", "bbox": { "l": 41.04, "t": 217.2, "r": 568.32, "b": 203.28 }, "text": "Phone: ___", "children": [ { "id": "p1.12.1", "order": 17, "type": "form_field", "bbox": { "l": 85.8, "t": 224.994, "r": 567, "b": 205.32 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Phone", "source": "acroform", "label": "Phone: ___", "label_source": "parent_text", "label_ref": "p1.12", "text_offset": 7, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 11 }, { "id": "p1.13", "order": 18, "type": "text", "bbox": { "l": 40.8, "t": 180.96, "r": 568.56, "b": 167.28 }, "text": "Email: ___", "children": [ { "id": "p1.13.1", "order": 19, "type": "form_field", "bbox": { "l": 79.56, "t": 187.853, "r": 567, "b": 169.32 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Email", "source": "acroform", "label": "Email: ___", "label_source": "parent_text", "label_ref": "p1.13", "text_offset": 7, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 12 }, { "id": "p1.14", "order": 20, "type": "footer", "bbox": { "l": 201.84, "t": 27.6, "r": 408.48, "b": 13.44 }, "text": "ONWARD. UPWARD. FORWARD.", "attrs": { "block_label": "footer" }, "reading_order": 13 } ] } ] }