Media Consent Form

(Photography, Audio, Video and Multimedia)

From time to time, the local media may be invited to our school to videotape, photograph, record and/or interview students involved in school-related activities.

In addition, schools in the Eastern School District promote involvement in curricular and co-curricular activities by posting pictures of students, representative student projects and recorded student readings on its web site and/or in its newsletters, brochures or advertisements. Schools in the Eastern School District also work closely with Eastern Health and the Healthy Students, Healthy Schools initiative to promote active and healthy living activities. Images may also appear in Eastern Health newsletters, brochures, advertisements or web sites for Eastern Health and/or the Healthy Students, Healthy Schools initiative.

Please indicate your wishes regarding your child’s involvement in the promotional activities mentioned above by completing the form below and returning it to your child's homeroom teacher. Student names will not be used without express permission from the parent/guardian and reasonable steps will be taken to protect the identity of students.

I agree to permit the Eastern School District, the right to use and or reproduce photographs, likenesses or the voice of my child in any legal manner and for the internal and external promotional and informational activities of Eastern School District. I agree to allow my child to be interviewed and/or photographed by the local news media in relation to any publicity of Eastern School District schools in which he/she is involved.  I also allow my child’s work and/or photograph to be published on the Eastern School District web site, publications and advertisements. I further allow my child’s image to be used by Eastern Health to promote the Healthy Students/Healthy Schools program on its website and publications.