Parental Image Use Permission Form printable pdf download

Parental Image Use Permission Form

am the parent/legal guardian of

and I agree to the following conditions concerning permission for

to take/use photos, images, videos, and digital recordings of my child within and concerning

the institution:

I allow full, unrestricted access for the aforementioned school/organization to take/use

photos, images, videos and digital recordings within the institution and display or market

said images on their website.

I deny any use of my child’s image for any purpose.

I give permission in the following conditions (check all that apply):

I allow photos, images, videos and digital recordings to be taken of my child within the

organization's settings, but not for display or marketing purposes.

I allow photos, images, videos and digital recordings to be taken of my child within the

organization's settings and for display, but not for marketing purposes.

I allow photos, images, videos and digital recordings to be taken of my child within the

organization's settings, for display and marketing purposes, but without listing the child’s

name or any identification.

I allow photos to be taken, displayed and marketed within the organization, but not videos.

I allow video to be taken displayed and marketed within the organization, but not photos.

Parent/Guardian’s Signature

Date Signed

Parental Image Use Permission Form