National Pta Reflections - Consent Form printable pdf download

Consent Form

The ARTIST does NOT need to sign a consent form. Public places are not subject to consent forms unless the

image or film will promote a commercial product. Florida is a two party consent state, this applies to

conversations such as interviews and phone calls. Anyone can take photos or films in public places which do

not infringe on privacy (exclusions would include public bathrooms, changing rooms, etc…). Conduct your own

research if you feel unsure of the law. If in doubt, have the person fill it out.

Websites researched:

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are-changing.html

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For Use of a Student’s Image or Voice

I give my permission for my son/daughter, _______________________, to participate in the taping, photographing, or audio

recording of an entry in the PTA Reflections® Program. I give consent for the student’s voice and or image to be included in the

entry. This entry may be used in perpetuity in connection with the PTA Reflections Program or other PTA purposes. I understand that

entries may be judged at the local, regional, state, and national level. Entries may be displayed at a school or at another public area,

including the Internet.

Name of Student Submitting the Entry

I have read and understand the Rules of the Reflections Program.

Student Name

Parent/Guardian Printed Name

Date

Parent/Guardian Signature

Date

For Use of an Adult’s Image or Voice

I am 18 years or older and I consent to participate in the taping, photographing, or audio recording of an entry in the PTA

Reflections® entry. This entry may be used an unlimited number of times in perpetuity in connection with the PTA Reflections

Program or other PTA purposes. I understand that entries may be judged at the local, regional, state, and national level. Entries may

be displayed at a school or at another public area, including the Internet.

Name of Student Submitting the Entry

I have read and understand the Rules of the Reflections Program.

Printed Name

Date

Signature

Date

National Pta Reflections - Consent Form