Parent Consent for Media Use Form

Parent Consent for Media Use Form — Form Fields

This education template includes 8 fields. Obtain parent or guardian consent for photographs, video, or media use of their child for school publications. Free to customize and use on ZenBuild.

• Parent or Guardian Name (text, required)
• Student Name (text, required)
• Student Grade (text, required)
• Email Address (email, required)
• Do you consent to photographs/video of your child being used in school publications? (multiple choice, required) — options: Yes - all uses, Yes - print only, Yes - internal use only, No consent
• Do you consent to your child being named in media? (multiple choice, required) — options: Yes, First name only, No
• Do you consent to social media use of your child's image? (multiple choice, required) — options: Yes, No
• Date (text, required)