Submit the form below
to be featured on the Celebration Wall.

COLLECTION NOTICE

By submitting this form, you agree to have your photo featured on the Convocation Celebration Wall. Your photo may also be used in a compilation video and shared on social media by Brock University.

Brock University protects your privacy and your personal information. The personal information requested on this form is collected under the authority of The Brock University Act, 1964, and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) for the administration of the University and its programs and services. The information will be used to process your submission and to provide Brock University staff with contact information should we need to get in touch with you regarding your submission.