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Parent Consent for Media Use Form - Free Education Template | ZenBuild | ZenBuild

Templates→Education→Parent Consent for Media Use Form

Parent Consent for Media Use Form

Obtain parent or guardian consent for photographs, video, or media use of their child for school publications.

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Parent Consent for Media Use Form

Obtain parent or guardian consent for photographs, video, or media use of their child for school publications.

Parent or Guardian Name*

Student Name*

Student Grade*

Email Address*

Do you consent to photographs/video of your child being used in school publications?*

Yes - all usesYes - print onlyYes - internal use onlyNo consent

Do you consent to your child being named in media?*

YesFirst name onlyNo

Do you consent to social media use of your child's image?*

YesNo

Date*

Template Details

CategoryEducation

IndustryEducation

Fields8

Uses0

Views2

consentmediaparentpermission