Oakland Unified School District Consent And Release Form For Media Interviews Photography, Video Production And Distribution

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OAKLAND UNIFIED SCHOOL DISTRICT
CONSENT AND RELEASE FORM FOR MEDIA INTERVIEWS
PHOTOGRAPHY, VIDEO PRODUCTION AND DISTRIBUTION
I,__________________________, parent or guardian, hereby give my consent to the
Oakland Unified School District (“District”) and any news organization authorized
to conduct interviews, record, take photos, film, or videotape of myself or my
Child(ren).
Names:_______________________________________________________________
I give consent for these interviews, photos, or videotapings to appear on national
and/or local media, including radio, television, publications, newspapers, and the
Internet.
I also agree that I and/or my child shall have no legal or economic right, title, or
interest in the photos, videotapes, film, publications or interviews content, nor any
intellectual property right in these matters, nor may I bring any claim or cause of
action for damages or injuries against the District resulting from the gathering or
dissemination of these photos, videotapes, film, publications, including interview
content.
I understand I and my child will not receive any monetary compensation from the
Oakland United School District, nor from media organizations from distribution of
these media.
I have read and understand this Consent and Release form, and agree to the
releases contained herein:
Date:___________________
___________________________________
Parent or Guardian
(print name)_________________________
Phone No: __________________________
Return to: Site Administrator
____________________________________________________________________

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