School Media Opt-in Form

School Media Opt-in Form

4th Grade Class of 2032 Fundraising Videos
Student Name*

First NameLast Name
Parent Name Authorizing Media Use*

First NameLast Name
Parent email*
example@example.com
I permit my child to be featured in an individual fundraising video interview that will only be shared with each child’s respective immediate parents/caregivers for purpose of soliciting donations from family and friends.I permit my child to be featured in a class fundraising video that will be shared with all fourth grade families for the purpose of soliciting donations from their family and friends, for our upcoming overnight class trip.
I understand that Highland Hall and its employees may not control or limit non-Highland Hall employees' use of digital media. I acknowledge that anything shared in a digital format may be readily shared, forwarded, posted, and utilized by non-Highland Hall employees without my consent. I hereby release Highland Hall from all liability concerning others' use of this media.
Date

MonthDayYear
Date
Parent Signature*
Should be Empty: