Parental Release Form
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Parent Release Form
The participants who appear in the video are often called the actors, talent, or subjects. Consider the legal issues surrounding the use of location and talent. If minors are included in a video, a parent's signature on a permission slip is required. Adults should also provide written releases if the final project will be published on the web. The release should state the specific project for which the video will be used, explain how it will be distributed, and request a signature giving you permission to publish the products and likeness (images and video) of the participant. It may be useful to explain how privacy and safety issues are being addressed. Dear Parent: As a Certified Teacher, I am presenting an enrichment class in videography at Premier High School during the 2008 - 2009 school year. In this class, the student will learn the fundamentals in shooting, capturing, editing and uploading video to our video library. Occasionally, there could be an opportunity for us to show our work in a public forum. Most of our projects will result in video segments of me with students and the publishing of student developed projects in an educational arena. It is required that I only use students whose parents/legal guardians have consented in writing to have their child’s participate. To protect their privacy, neither the video or web materials will include reference to their last name, home address, or phone number. Additionally, we will not publish the name of the child on any projects created. Please sign below if you wish to give me permission to include your child in these projects. With my signature below, I give permission for my child to have his/her likeness displayed in the form of video or still images and possibly, examples of learning materials produced by my child. I hereby release Ms. Leeson, the videography teacher and Premier High School, and Eagle Charter Schools from any and all liability and legal or equitable claims of any kind related to such work being published. I understand that my child will be identified in video by first name only. (Please type your child's name below) Student’s Name: (Please type your name below) Parent's Name: Thank you, Deborah Leeson (video instructor), Premier High School Abilene, TX
Yes, I agree with this contract
No, Please contact me
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