Photo Release Form

Authorization for use of photograph, image, video and audio recording.

I /we hereby consent to the use of any video tapes, photographs, digital images, audio tapes or any other audio or visual reproduction in which the named individual(s) may appear by Immaculate Conception Academy / Parish and the Diocese of Allentown.

 I understand that these materials may be used for promotional purposes including recruitment and fund-raising efforts or general publication. Promotion may include, but is not limited to, slide presentations, photo displays, internet promotions, electronic multi-media or billboard display.

 I / we agree that the photograph / image shall be free for use and release Immaculate Conception Academy / Parish and the Diocese of Allentown, its employees, volunteers and agents for any liability connected with the use of said photograph or image.

***We do not use the student’s last name when posting on social media or on our website. You may also ask that the student’s first name is not used and only give us the right to post your child’s image. Please inform your child if they are not to be photographed. Please note that if you do not consent to your child’s image being used, they will need to be removed from group/class pictures. Also some pictures will be required for the yearbook***