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Media Consent Form P94M 2024-2025

Please complete the form below. Required fields marked with an asterisk *
What site does your student attend? *
Answer required for "What site does your student attend? "

I consent to the use and disclosure of the image, quotes, name, participation in interviews, and the taking of photographs, recordings, and videos of the Student named above by the New York City Department of Education (NYC DOE) and NYC DOE-invited members of the press for NYC DOE-sponsored events. I grant the NYC DOE and invited members of the press the right to disclose, edit, use, and reuse the Student’s image, quotes, name, and interviews, and photographs, recordings, and videos of the Student for the NYC DOE’s nonprofit and public press purposes. This includes use in print, on broadcasts, in online spaces (such as the NYC DOE website and social media accounts and those of the press), and all other forms of media. I understand that when the school hosts a public event, individuals at the event may take their own photographs, videos and audio of the event, that such recordings may capture me or my child, and that they may also be made public.

I also release the NYC DOE, its agents, and employees from all claims, demands, and liabilities in connection with the rights granted above.

Classroom Consent: I PERMIT P94M to use my students' pictures and videos for in-class activities (i.e., students' schedules, classwork, etc.)*
Answer required for "Classroom Consent: I PERMIT P94M to use my students' pictures and videos for in-class activities (i.e., students' schedules, classwork, etc.)"
School-Based Events Consent: I PERMIT P94M to share my student's pictures and videos for school-based events (i.e., videos, photo collages, art/ music/ theater shows).*
Answer required for "School-Based Events Consent: I PERMIT P94M to share my student's pictures and videos for school-based events (i.e., videos, photo collages, art/ music/ theater shows)."
School-Based Sharing Consent- I PERMIT P94M to share my student's pictures and videos from school-based events (i.e., videos, photo collages, art/ music/ theater shows) with other families in the school.*
Answer required for "School-Based Sharing Consent- I PERMIT P94M to share my student's pictures and videos from school-based events (i.e., videos, photo collages, art/ music/ theater shows) with other families in the school."
Website/ Social Media- I PERMIT P94M to share my students' pictures and videos on their website and social media.*
Answer required for "Website/ Social Media- I PERMIT P94M to share my students' pictures and videos on their website and social media."
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