PHOTO/VIDEO/AUDIO RELEASE FORM
At Eastgate Academy we share our values and happenings through promotional videos, photos, and audio. We care about the privacy of our students and use photos, footage, and/or audio of students for the purpose of raising awareness of our quality school.
I,
First Name
*
Last Name
*
, hereby give my permission for
First Name
*
Last Name
*
(child's name)
To be pictured and/or named in brochures, publication, and press releases used by Eastgate Academy. (Names will not be used in pictures.)
*
Please Select
Yes
No
To have pictures posted in the classroom, building or in-house computer screens.
*
Please Select
Yes
No
To have pictures on the end-of-the-year picture albums.
*
Please Select
Yes
No
To have his/her art projects, fine arts performances recorded for promotional purposes.
*
Please Select
Yes
No
To be pictured on the website (without child's name used)
*
Please Select
Yes
No
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: