Photo & Video Release Form

Photo & Video Release Form

Permission to capture and share moments of your child’s learning and growth.
Date:

MonthDayYear
Date
Dear Parent/Guardian,

At Little Tot’s Learning Daycare, II, we love to capture the special moments your child experiences during their time with us. We may take photos or videos of your child while engaged in daily activities, field trips, special events, or classroom routines both on and off the daycare premises.
Name of parent:*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Permission to Use Video or Photograph:

I, the undersigned, hereby grant Little Tot's Learning Daycare, II the absolute right and permission to use my Child(rens) Videos, photograph(s) in any manner or media, including, but not limited to, the following purposes:

Educational materials
Publications
Advertising and promotional materials
Social media platforms
Websites
Press releases
No Compensation

I understand that I will not receive any monetary compensation for the use of my child(rens) video or photograph(s) within or off the premises of the daycare.

Rights Granted

I grant Little Tot's Learning Daycare, II the following rights:

The right to edit, alter, copy, or distribute the photograph(s) for any lawful purpose.
The right to use my child(rens) name in connection with the video or photograph(s) if they choose.

Release and Waiver

I hereby release and discharge Little Tot's Learning Daycare, II, its employees, agents, and representatives from any and all claims, demands, or causes of action that I may have now or in the future for defamation, invasion of privacy, or violation of the right of publicity or any other right arising out of or relating to the use of the videos or photograph(s).

Revoking Consent: The parent understands they may revoke this consent at any time by providing a 30 day written notice.

The revocation will apply only to media captured after the date of your request.
Any media used or published before that date will remain in circulation and will not be removed from existing publications or materials.
Signature Acknowledgment:
By signing below, I confirm that I have read and understood the Photo and Video Release Form and agree to the terms and conditions outlined above regarding the use of my child(ren)’s images and videos.
Print Parent's Name:

First NameLast Name
Parent's/Guardian's Signature*

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Date signed:

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Date
Provider's Name:

First NameLast Name
Provider's Signature

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Date signed:

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Should be Empty:

Photo & Video Release Form

Dear Parent/Guardian,