Media Release Form Name of Person Filling Out Form(Required) First Last Email(Required) Enter Email Confirm Email Student's Name First Last Media Release DescriptionAt the Centre for Literacy, we believe it is important to celebrate students’ achievements. We are aware of potential risks that may arise when information or material is published publicly. The Centre will not share identifiable personal information, such as last name, home address, email address or telephone number when your student’s achievements are made public. Of note, the copyright of any student’s work remains with the student identifiable personal information attached to your student’s achievements will not be included without parental/guardian review By selecting “Yes” below, you are agreeing that your student’s achievements may be used in the following ways by the Centre for Literacy. Examples include, but are not limited to: Displays, brochures, program booklets, newsletters or publications Video and audio recordings, podcasts, and/or presentations online Websites or social media platforms Centre for Literacy sessions may also be recorded to provide material for staff development or to demonstrate professional practices. I have read the release description.This permission remains in effect until and unless revoked by parent, which may be done in writing at any time. Yes. I grant release for internal Centre for Literacy use only. Yes. I grant release for both internal and external use. No. I do not grant release for internal or external use.