Your photo and video permission
This form explains the center’s request to use student photographs and video for publicity, promotional, or educational purposes. Please read the full form before signing.
The form includes both Yes and No options so you can record your choice. It also asks for the student’s name, a parent or guardian’s signature, and the date.
View the photo release permission slip (PDF)
Download the photo release permission slip (PDF)
Bring the completed form to the tutoring center. If you have questions about the permission requested, please contact us before signing.
Looking for the student information form? Visit our enrollment form page.