Southern Hills Media Release Form

We frequently take photos of the preschool children for use in the classroom. Some pictures are used in the classroom, in our newsletter, on display in the hallway, in our local newspaper, and some will be used on the preschool website and for other marketing materials.

We also occasionally video preschool activities or individual children as a means of tracking progress, training staff, advertisements and sharing with you what your child is doing at school.

We would like your permission to take photos and/or videos of your preschooler.

Yes - I consent. I grant permission for my child to participate and appear in video or audio recording,

films, photographs, written articles, or on websites and social media sites.
No - I do not consent to use of my child's photograph, voice, and/or name in various media projects.

Name *
Name
Select One: