Media Consent Form

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MEDIA/PHOTOGRAPHY: CONSENT AND RELEASE FORM
Hand-In-Hand Daycare
Parents need to complete this consent form in order to allow their children to be photographed
during special events or normal day to day activities organized by Hand-In-Hand Daycare. In
order for a child to have their photograph taken, they must have a consent form on file at Hand-
In-Hand Daycare.
If you do not wish to have your child photographed, please do not hesitate to indicate this in the
section below. As well, if you do object, please ensure that your child is aware of this.
As the parent of a child or children at Hand-In-Hand Daycare, I agree to the following:
 I understand that my child(ren) whose name(s) are listed below may be photographed
while attending Hand-In-Hand Daycare during normal daycare hours, field trips or
activities.
 I understand that these photographs may be used in school newsletters or uploaded to the
Hand-In-Hand Daycare website and Facebook pages.
 I give permission for my child(ren) to be photographed, or their images recorded to be
uploaded on the Hand-In-Hand Daycare website and Facebook pages.
The following are the names of my children attending Hand-In-Hand Daycare:
(Please print your child(ren)’s full name)
___________________________________________________________________________
___________________________________________________________________________
( ) Yes, I confirm that I have read and understood the above, and agree to have photographs
and videos of my child(ren) uploaded to the Hand-In-Hand Daycare website, Facebook, and
newsletters.
( ) No, I do not wish to have my child(ren) photographed or recorded.
Signature: _________________________ Name (please print): _______________________
Date:__________________________

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