METCO Media Release Form

METCO, Headquarters. Media Release Form

METCO, Inc. staff may take photographic and/or video images of you and/or your child(ren) for publicity purposes. Please indicate whether METCO has your permission to take, use, and publish these images and videos in print and/or electronically.

Parent/Guardian First Name

Parent/Guardian Last Name

Child's First Name

Child's Last Name

Child's First Name

Child's Birth Date DD/MM/YYYY (for adults, provide your birth date)

Affiliated District

Are you 18 years or older?

YesNo

I am granting METCO, Inc. permission to take, use, and publish images and videos of myself and/or my child, in print and/or electronically, including: the METCO website; social media accounts; presentations for public display; printed informational media (brochures, flyers, etc.); and historical documentation of METCO activities.

I understand and agree to give the above permissions.

YesNo

Parent/Legal Guardian Signature (please write your full name)

Today's Date

Contact Information

METCO, Headquarters. Media Release Form

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