THE LEARNING COLLECTIVE GROUP LTD

MEDIA RELEASE FORM

Name of student *
Name of student
I, the undersigned, do hereby grant or deny permission to The Learning Collective to use the image of my child, as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the The Learning Collective website. Please select:
Date *
Date