Media Release & Permission I grant media release and permission to use my student’s name and reproduction of physical likeness for the purpose of publicizing the program through pamphlets, video, newspaper, periodicals, etc. I also grant permission and agree to let my student participate in the activites described.Media Release & Permission I have read and understand the above school permission and agree to let my student participate in the activities described.Name of Student(Required) Full Name Name of Parent/Guardian(Required) Full Name Date MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged. Δ
