Media Consent
Student Media Consent and Release Form Throughout the school year, students may be highlighted in efforts to celebrate their achievements and promote Summit Academy activities, programs and achievements. This includes internal and external media such as social media, district’s website and other media platforms. Please complete this form and have your child return it to his or her school. This consent form remains valid throughout your child’s K-12 experience with Summit Academy Schools or until a new form is completed and signed by a parent / guardian or eligible student. I, _________________________________________________ as the parent or guardian of ___________________________________________________, grant permission to Summit Academy and its School Board, agents, employees and/or school staff to photograph my child and to record voice, performance, poses, acts, plays and appearances. I further grant my child’s school all rights to use these sounds, still, and moving images and other reproductions of physical likeness in any medium (i.e. print, website, video, social media). I understand that neither Summit Academy nor its representatives will reproduce said photographs, interviews or likeness for any commercial value or receive monetary gain for use of any reproduction/broadcast of said photographs or likeness. I am also fully aware that I will not receive monetary compensation for my child’s participation. I further release and relieve Summit Academy, its School Board, employees and other representatives from any liabilities, known or unknown, arising from the use of this material. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing to the Summit Academy Student Media Consent and Release Form. I agree that my failure to raise any questions in writing in conjunction with the signing of this document will be interpreted as a free and knowledgeable acceptance of the terms of this release.