Kindergarten 2024-2025                                      Media Consent for NYC Department of Education Use
Below you will find PS 46 Media Consent form. It is important that you complete it as soon as possible Thank you!
Sign in to Google to save your progress. Learn more
Email *
PS 46 -Alley Pond
  I consent to the use and disclosure of the image, quotes, name, the participation in interviews, and the taking of photographs, recordings, and videos of the Student named above by the New York City Department of Education (NYC DOE) and NYC DOE-invited members of the press for NYC DOE-sponsored events. I grant the NYC DOE and invited members of the press the right to disclose, edit, use, and reuse the Student’s image, quotes, name, and interviews, and photographs, recordings, and videos of the Student for the NYC DOE’s nonprofit and public press purposes. This includes use in print, on broadcasts, in online spaces (such as the NYC DOE website and social media accounts and those of the press), and all other forms of media. I understand that when the school hosts a public event, individuals at the event may take their own photographs, videos and audio of the event, that such recordings may capture me or my child, and that they may also be made public. I also release the NYC DOE, its agents, and employees from all claims, demands, and liabilities in connection with the rights granted above.  
*
*Student's First and Last Name example: (John Smith)
*
Student Class *
Parent/Guardian Name *
*Parent/Guardian's First and Last Name example: John Smith                                                                          
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NYC Department of Education. Report Abuse