You are on page 1of 1

Media Release

There may be times throughout the year when we would like to use pictures or
video of Co-op students for public relations, projects, advertisements, or just for
fun. We often make photo collages and hang them up around the classroom.
Pictures posted online will not contain any student names. It is possible that
pictures may also be taken and used by local news media. We will always exercise
great care to ensure the safety of our students.

Please sign and return ONLY the release below with your tuition payment.

Media Release
Childs (or children) name ________________________________ Class _______________

Please Check one: ______ I give permission for images and video of my child, or
children, listed above, to be used at the discretion of the Co-op staff.

______ I do not give permission for images and video of my child, or


children, listed above, to be shared.

Print name: ___________________________________

Signature: ____________________________________ Date: _________________

You might also like