Parent Consent Form for Student
Student Name
First Name
Last Name
School Name
Department
Parent/ Guardian Name
First Name
Last Name
Relation with student
Father, mother, etc.
Parent/ Guardian Consent
I give permission to photograph/video of my child for the following:
1
I grant permission to use my child's photograph/video described above.
2
I do not grant permission to use my child's photograph/video described above.
Signature
Date Signed
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: