Photography and Video Student Release Form 2020-2021
Important! Please read the statements and complete all questions! By completing this form you are agreeing your student's image may be used for the Charlton County High School Band website, Facebook page, and any other social or digital media used for the sole purpose of the Charlton County High School Band. Make sure all blanks are completed. Incomplete forms cannot be accepted. If you have more than one student in the band, you must complete a separate form for each child.
Sign in to Google to save your progress. Learn more
Student's First Name *
Student's Last Name *
Student Grade (Beginning August 2021) *
Statement 1. I hereby grant permission for video recordings and digital photographs to be taken of my child or my child's work as part of his/her participation in the Charlton County High School Band program. I understand the recordings and images collected will be used for non-profit educational purposes. I authorize the Charlton County Band program to use my child's image on its website, Facebook page, and/or in printed promotional materials without further consideration, and I acknowledge the Charlton County High School Band program's right to treat media (such as cropping) at its discretion. Note: No names of students will be identified. I also acknowledge the Charlton County High School Band program may choose not to use my child's image at this time, but may do so at a later date. By signing the question below you are agreeing to the above statements.
Parent Electronic Signature for Statement 1 *
Today's Date *
MM
/
DD
/
YYYY
Statement 2. I understand once my child's image is posted on the Charlton County High School Band's website, the image could possibly be downloaded by a third party. I agree I will not hold the Charlton County High School Band, the Charlton County Band Boosters, or the Charlton County School System responsible from any harm that may arise from such unauthorized reproductions. By signing the question below you are agreeing to the above statements.
Today's Date *
MM
/
DD
/
YYYY
Parent Electronic Signature for Statement 2 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Charlton County Schools. Report Abuse
Google Forms