Media Consent Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Media Consent Form - Wolf Hill

Dear Parent/Guardian:

We as a school district want to celebrate your child, his/her work, and his/her participation in certain programs or events. We are requesting permission for your child's image to be published.

Please check the choice below that is most appropriate for your family and fill out the form below.

Thank you!

Email *

Please check one of the following options below. Thank you! *

Full Permission Granted - This includes the following, as appropriate: Image/audio of my child, and/or personal identifiers such as name, grade, school, and teacher's class. This may include, but it is not limited to, school/district website, school/district social media, local papers and school publications, including yearbooks/memory books, DVD's of school events (performances/shows), etc.

Permission is NOT granted. My child's image/audio may not be published on the district and/or school's website or in social/print media generated by and under the control of the school district.

Student's Name *

Current Grade Level *

Teacher's Name *

Parent/Guardian's Name *

Date *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Oceanport Board of Education. Report Abuse

Forms