FOR FAMILIES

Photo / Image Release

This form is used to record parent/guardian agreement to the use of their student's image/photo in relation to Saint Mary School.

"*" indicates required fields

Throughout the year, there may be opportunities for your student's/students' photo/image to appear in/on newspaper ads, press releases, TV, or the school website.

Before we can release your student's photo or allow him/her to participate in related activities, we must have your consent to do so.

Students will not be allowed in class until this form has been submitted.

Date*

Name of Parent/Guardian*

Prefix First Last

Name of Parent/Guardian

Prefix First Last

Name of Student*

First Last

Grade*

Name of Student

First Last

Grade

Name of Student

First Last

Grade

Name of Student

First Last

Grade

Select one:*

I give permission for my student's/students' picture(s)/image(s) to be used in photos or videos related to Saint Mary School.

I do NOT give permission for my student's/students' picture(s)/image(s) to be used in photos or videos related to Saint Mary School.

Handbook & Forms

Saint Mary School

Nativity of Mary Parish

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Saint Mary School admits students of any race, color, and national or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. Learn more.