CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE A STUDENT FOR NON-PROFIT USE

(e.g. educational, public service, or health awareness purposes)

  • to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the Student named above. I also consent the right to edit, use, and reuse said products for nonprofit purposes including use in print, on the internet, and all other forms of media. I also hereby release the New York City Department of Education and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY