CCS Image Release Form

IMAGE RELEASE FORM

(LAST UPDATED 7/18/2022)
This form is where you can indicate your preferences for how pictures, video, or audio of your child are shared.
During school-related events including homeschool days, photo opportunities arise. We would like permission to use the photographs, audios, and videos taken during these events to post internally at the school and/or on school media.

We would also like to use these resources for publicity purposes. We promote our school using brochures, websites, and other promotional materials. When photographs, audios, and videos are used for publicity purposes, students will never be identified by name.

CCS is a part of the KYTN Conference of SDA. At times, they will visit the school and take pictures for publicity purposes. Again, students will not be identified by name.

Please indicate your preference in the following section.

IMAGE RELEASE
Child's Name *

First Name Last Name
Do you give CCS permission to use photos, audios, and videos of your student as stated above? *

Yes No
Do you give KY-TN Conference of SDA permission to use photos, audios, and videos of your student as stated above? *

Yes No
Signature *

Clear
Date *

Month Day Year
Should be Empty:

IMAGE RELEASE FORM