2021-2022 Media Release
Please fill out one form per family.  Please Select Option 1 or Option 2
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Family Last Name *
Student(s) First Name(s) & Grades *
Allowing
Please select yes ONLY if you are ALLOWING HLCS to use pictures/video of your student(s) in printed material and/or videos.   I hereby grant to Harbor Light Christian School or their representatives, the absolute right and permission to copyright and use, audio recordings, video recordings, academic work, and/or photographic portraits, likeness or pictures of me, and/or my child(ren), in whole or in part, in their marketing, advertising, promotional, and communications publications in hard-copy print, on their website, and/or broadcast and electronic media formats now existing or in the future created.  I hereby waive any right I may have to inspect or approve the finished product or products.  I hereby release Harbor Light Christian School or their representatives, from any liability for any violation of any personal or proprietary right I may have in connection with the use of the above.                                                                                                    
Clear selection
Not Allowing
Please select yes ONLY if you are NOT allowing HLCS to use pictures/video of your student(s) in printed material and/or videos.        I hereby DO NOT grant Harbor Light Christian School or their representatives the absolute right and permission to copyright and use, audio recordings, video recordings, academic work, and/or photographic portraits, likeness, or pictures of me, and/or my child(ren), in whole or in part, in their marketing, advertising, promotional, communications publications in hard-copy print, on their website, and/or broadcast and electronic media formats now existing or in the future created.                                                                                      
Clear selection
Electronic Signature *
By selecting yes, I/we hereby warrant that I/we are of legal age and are the legal guardian, authority or parent for the minor child(ren) and have every right in our own name in the above regard.  I state further that I have read the above authorization, release and agreement and that I am fully familiar with its contents.
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