School Project Media Consent Form
Provide your consent for the use of your child's image, video, or audio in school projects.
Student's Full Name
*
First Name
Last Name
Student's Grade/Class
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Project Name or Description
*
Type(s) of Media Consent
*
Photographs
Video Recordings
Audio Recordings
Purpose of Media Use
*
School project display only
School website or social media
External exhibitions or competitions
Duration of Consent
*
This school year only
Until revoked in writing
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Consent
Submit Consent
Should be Empty: