Interact Social Media Photo Release Form

Student Name*

First NameLast Name
Grade Level
Parents Name*

First NameLast Name
Authorization and Release
What is your preference regarding the use of your child's name?*

I consent to the use of my child's complete name.I consent to the use of my child's first name only.I consent to the use of my child's nicknameI consent to the use of my child's photographs anonymously.
Please check the boxes regarding your preference.*

I authorize Interact members and advisors to take my child's photographs.I authorize Interact members and advisors to use my child's photos on Facebook, Twitter, Instagram, and other social media platforms.I authorize Interact members and advisors to edit, alter, copy, or distribute the photos for social media advertising and marketing.I agree that the photos all intellectual property rights of the photos belong to Interact.I agree that I will not receive any monetary compensation for usage of my child's photographs in social media platforms.
Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty:

Authorization and Release