C Photo release consent | CLIP

Photo Release Consent

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Student(s) FULL name

Children’s Language Immersion Program utilizes photo and video images in multiple ways. In addition to using them for classroom lessons and activities, we use them to share with the public the great work that our students, instructors, and programs are doing. We hope that you will give us permission to share some images of your child. Please check one of the following options:

Yes, I do give my consent to Children’s Language Immersion Program to use photo or video images taken of me and my name in program brochures, advertisements for the program, on the website, in social media, and in other program publications as the program sees fit. I agree to hold the program harmless from any liability which may result from the use of the said picture(s).

Yes, I do give my consent to Children’s Language Immersion Program to use photo or video images taken of me but not my name in program brochures, advertisements for the program, on the website, in social media, and in other program publications as the program sees fit. I agree to hold the program harmless from any liability which may result from the use of the said picture(s).

No, I do not give my consent to Children’s Language Immersion Program to use pictures taken of me in school brochures, advertisements for the program, on the website, in social media, or other school publications as they see fit.

Parent1/Guardian1 printed full name

Parent1/Guardian1 signature

Today's date

Parent2/Guardian2 printed full name

Parent2/Guardian2 signature

Today's date

Download a PDF copy CLIP's Photo Release Consent

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(412) 977- 0941

contact@clippgh.com