PHOTO RELEASE FORM Norfolk Public Schools (NPS) welcomes

PHOTO RELEASE FORM

Norfolk Public Schools (NPS) welcomes community engagement in the educational process. To that end, the

school division frequently shares information about our educational programs with parents, staff, and the

community. This information is provided in many ways, including, but not limited to NPS websites, video

productions, and publications. We love including photographs and videos of our talented students engaging in

great teaching and learning experiences, provided parental consent is granted.

Please complete this form and return it to your child’s school as soon as possible.

() I CONSENT FOR MY STUDENT’S IMAGE AND NAME TO BE USED BY NPS.

Please complete the remainder of the form below. This permission is in effect until completion of an updated

form for the subsequent school year.

(



) I DO NOT CONSENT FOR MY STUDENT’S IMAGE AND NAME TO BE USED BY NPS.

Note: It is our desire to adhere to the wishes of all parents and guardians. Should you prefer not to allow your student’s likeness to be

used for any reason, DO NOT return this form. Please ensure that you advise your child of your wishes and encourage them to remind

teachers and staff that they should not be included when photos, videos or other recordings are occurring.

We are the parents and/or guardians of , a minor and a student of

Norfolk Public Schools (NPS). We recognize that as part of the educational process, officials of NPS may at

times wish to interview, photograph and/or videotape a student, or authorize an external third party entity to do

so, using a student's likeness in various media for the purposes of exhibiting NPS' educational programs.

We therefore, by our signatures below, grant permission to officials of NPS to interview, photograph, audio record,

videotape or otherwise record our student, or authorize an approved external entity to do so, and subsequently use

our student's name, picture or likeness in any form, in any media and for any non-commercial purposes. We agree

that such purposes include, but are not limited to: the inclusion of our student's name and image in NPS

publications, promotional materials, advertisements, programs, presentations, and internet or intranet sites. We

hereby waive on our own behalf and on behalf of our student any and all claims, suits, causes,actions or causes of

action, whether under common law, constitutional or statutory provision, that might accrue to any one of us against

NPS, its officers, employees, agents or volunteers in connection with the actions and usage detailed above.

Name of Student:

Parent/Guardian:

Date: ________________________ School:

Update 8/25/2021