Media Release Form

Please complete for each student.

With your permission, I may occasionally wish to publish photos, videos, and audio recordings online, including, but not limited to, Facebook, Instagram, and my website. These may include sponsored posts (advertisements).

Please complete the following form for each student. You may update your selection at any time by simply filling out this form again.

* Indicates required field

Student's Name *

First

Last

Parent/Guardian's Name (if the student is under 18 years old) *

First

Last

I am an adult student or the parent/guardian of the student named above, and I give permission for you (Erik Olson) to use: *

Photos, videos, and audio recordings with no limitations (including the student's name) on an ongoing basis Photos, videos, and audio recordings (not including the student's name) on an ongoing basis Photos, videos, and audio recordings on a case-by-case basis (ask for permission before each use) Only group photos (not including the student's name) on an ongoing basis None of the above Other (please specify in the text box below)

Comment *

Submit