Student Photo/Video Permission Form
As the Parent(s)/Guardian(s) of (Students Legal Name) I/We hereby grant permission to Tipton Academy to use photos, printed names, video footage of our children in school publications, postings in the building, at presentations, and on the school website.
I/We also grant permission for our child to be identified in an accompanying caption used with snapshots as a news item for the school.
Parent/Guardian:
Printed Name:
Date:
Address:
Telephone Number:
Grade and Home Room Teacher:
Note: This form is not required for large group photos where individuals are not identified, or to have a student's name and photo printed in the school yearbook. If you do not want to have your child(ren) to appear in the school yearbook