Media Release Form

Media Release Form

** PLEASE NOTE, ONE FORM PER STUDENT MUST BE COMPLETED.


MEDIA CONSENT AND RELEASE FORM

 

The RISE Schools may use photography or videography to highlight student achievements, chronicle school activities, and enhance the educational experience within the school and for the broader school community. At times, a student’s name may be used in print or verbally in connection with such photographs and videos. These photographs and videos may be shared both inside and/or outside of The RISE Schools and may from time to time be publicized through local or national news media, social media platforms, or other websites. 

 


 I grant The RISE School and its employees, representatives, and authorized media organizations permission to photograph or record my child for use in media or publicity activities as described above. Such activities may include, but may not be limited to: 

  • Interview sessions with news reporters. 

  • Photographs for newspapers of various school system publications including newsletters, calendars, and brochures. 

  • Videotaping for local and national television newscast, cable programming and school system promotional videos. 

  • Participating and appearing in videos uploaded to a school YouTube channel.

  • Photographs for the school website or other local schools. 

  • Photographs for The RISE Schools Newsletter (should there be one). 

 

I DO NOT grant the RISE Schools and its employees, representatives, and authorized media organizations permission to photograph or record my child for use in media or publicity activities as described above.

 

I understand that this permission is effective as long as my child attends The RISE Schools or until I give further notice in writing. 

I further understand that by signing below, I release and relieve The RISE Schools and its employees and representatives from any liabilities, known or unknown, arising out of the use of these photographs or videos. 

I certify that I have read this Media Consent and Release Form and fully understand its terms and conditions.

 

SELECT SCHOOL:

Grammar/ Prep

 

 

         

Student Name

 

 

Parent/Guardian Signature

 

   

        Date 

 

 

 

       Email

 

 

 

 

 

 

 



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