Student Media Consent And Release Form printable pdf download

Student Media Consent And Release Form

Student Media Consent and Release Form

In an effort to promote the activities and achievements of the Casa Grande Elementary

School District, students may be highlighted or featured in promotional materials

produced by the District including brochures, advertisements, newsletters, and school

websites.

____________________________

(parent/guardian) give

the

Casa

Grande

Elementary School District permission to use my child’s photograph, photographic image,

or accomplishments in official District business including: school web site, newsletters,

brochures, and other promotional materials. Your child’s name or address will not be

included with any images when publishing on District websites.

Name of child __________________________________________ Grade___________

Name of parent / guardian ________________________________________________

Address _______________________________________________________________

City, State, Zip__________________________________________________________

Signature of parent or guardian ____________________________________________

Date____________________ Phone Number ________________________________

Student Media Consent And Release Form