Media Release
Publications, Video, Internet Consent and Release Agreement
Students who attend St. Raphael's Catholic School (herein after =20
referred to as SRS) the parish of St. Raphael's Catholic Church =20
(herein referred to as Parish) are occasionally part of publicity, =20
publications and/or public relations activities. In order to guarantee =20=
student privacy and ensure your agreement for your student to =20
participate, SRS asks that you agree to this form.
The form referenced below indicates approval for the student's =20
picture, art, written work, voice, verbal statements or portraits =20
(video or still) to appear in school publicity or parish publications, =20=
videos or on the SRS or Parish website. For example, pictures and =20
articles about school activities may appear in local newspapers, =20
school or parish publications. These pictures and articles may or may =20=
not personally identify the student. The pictures and/or videos may be =20=
used by SRS or the parish in subsequent years.
AGREEMENT
Student and Parent/Guardian release to SRS the student's name, =20
picture, art, written work, voice, verbal statements, portraits (video =20=
or still) and consent to their use by SRS and the parish.
SRS agrees that the student's name, picture, art, written work, voice, =20=
verbal statements, portraits (video or still) shall only be used for =20
public relations, public information, school or parish promotion, =20
publicity, and instruction.
Student and Parent/Guardian understand and agree that:
=B7 No monetary consideration shall be paid;
=B7 Consent and release have been given without coercion or =
duress;
=B7 This agreement is binding upon heirs and/or future legal =20
representatives;
=B7 The photo, video or student statements may be used in =20
subsequent years.
Choose 1:
o I have read this release and understand its contents
o I have elected to not allow any publicity of my student, written =20=
notification, in addition to this form, must be sent to the school =20
office.
Student Name: =20
________________________________________________________________
Homeroom Teacher: =20
____________________________________________________________
Parent/Guardian Name: =20
_____________________________________________________________
Parent/Guardian Email: =20
_____________________________________________________________
Date: =20
=
__________________________________________________________________________=
___
If the Student and Parent/Guardian wish to rescind this agreement they =20=
may do so at any time with written notice to the SRS School Office.
---
Lisa Sjogren
Director of Technology
St. Raphael's Catholic School
763-504-9450, ext. 311
763-504-9460, fax
lisa.sjogren@srsmn.org
My Blog: http://lisasjogren.srsmn.org
On Jan 17, 2008, at 11:58 AM, Susan Malandrino wrote:
> How does your institution handle permission for using images of =20
> students
> or student work in publications or on the web? Do you ask separate
> permission to publish a student's name along with their photograph?
>
>
>
> Since our current process is tremendously cumbersome, I'm recommending
> we place a blanket statement in the contract such as the following: "I
> grant permission for the school, in whole or in part, to use
> photographs, written extractions, and voice recordings of students for
> the purpose of marketing and publications unless otherwise notified in
> writing."
>
>
>
> How do I allay fears that parents will be upset by this? Can anyone
> offer any suggestions?
>
>
>
> Thanks,
>
> Susan
>
>
>
> Susan E. Malandrino
>
> Director of Marketing and Communications
>
> Norfolk Collegiate School
>
> 7336 Granby Street
>
> Norfolk, Va. 23505
>
> (757) 480-2885 ext. 1013
>
> (757) 588-8655 (fax)
>
> smalandrino@norfolkcollegiate.org
>
>
>
>
> [ For info on ISED-L see http://www.gds.org/ISED-L ]
> Submissions to ISED-L are released under a creative commons, =20
> attribution, non-commercial, share-alike license.
[ For info on ISED-L see http://www.gds.org/ISED-L ]
Submissions to ISED-L are released under a creative commons, attribution, non-commercial, share-alike license.
