Photo/Video Release Form

Throughout the school year, there may be times when LTS staff, the media, or other organizations (with the approval of the principal), may take photographs of students, audiotape and/or videotape students, or interview students for school-related stories in a way that would individually identify a specific student. Those photographs, audio recordings, and/or videotaped images or interviews may appear in LTS publications; in LTS video productions; on the LTS website; in LTS advertisements, fundraising, and/or recruitment materials; in the news media; or in other nonprofit, education-related organizations’ publications.

In order to release student photos, video footage, comments and/or post on the LTS website, we need written permission. To give your consent, please complete the form below.

_____ I hereby give permission for LTS to use my child’s voice and/or likeness in its publications for the purposes mentioned above. I authorize the use and reproduction by LTS of any and all photographs and/or audio or video recordings taken of my child, without compensation to my child or to me. All photographs and recordings shall be the sole property of LTS. I waive any right to inspect or approve the finished photographs, audio or video recordings, and/or reproduced materials that may be used in conjunction with them. I understand and agree that LTS may use my child’s voice and/or likeness in subsequent school years unless I revoke this authorization by notifying the principal in writing, I further grant unto LTS permission to permit my child to be photographed, audio/videotaped, or interviewed by the news media or other approved organizations for school-related stories or articles. I release LTS and those acting pursuant to its authority from liability for any violation of any personal or proprietary right I may have in connection with the purposes mentioned above.

_____ LTS may not use my child’s voice and/or likeness in its publications for the purposes mentioned above. I further decline permission for LTS to permit my child to be photographed, audio/videotaped, or interviewed by the news media or other approved organizations for school-related stories or articles.

Student’s Name:

Parent’s/Guardian’s Name*:

Address:

Telephone Number of Parent/Guardian:

Parent’s/Guardian’s Signature Date

* Students 18 years of age or older may sign this release form for themselves.