Photo/name/work Release Form - Global Montessori School

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Address: 17 Clark St, Belmont, MA, 02478
Phone: (781) 369-5993
Photo/Name/Work Release Form
From time to time, Global Montessori School (GMS) students are photographed during
academic, artistic or athletic endeavors. Students are also routinely photographed for
inclusion in school related promotional and advertising materials that are disseminated to the
public through newspapers and other forms of advertising, admissions materials, our web
site and other media. The release below allows us to use your child(ren)’s photo/name/work
in such endeavors.
Please check each box that applies. One release form may be used per family.
I give permission for my child(ren)’s photograph to be used by GMS (photo only, no
names will be used).
I give permission for my child(ren)’s name to be used by GMS (first name only).
I give permission for my child(ren)’s schoolwork to be used by GMS (work will be
posted with first name only).
I do not give permission for my child(ren)’s photo, name or work to be used by
GMS.
Family Name: ______________________________________
Child(ren)’s Name: __________________________________
Parent/Guardian Signature:____________________________
Date _________________________
This agreement will stay in effect until you notify the School of its revocation in writing.

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