Consent for Use of Photographs/Digital Images and Release of Information for Student-Athletes
I, the parent of the above named student, a student in the Mount Pleasant Central School District, do hereby consent to the release of certain personally-identifiable information pertaining to my son/daughter related to participation in the Mount Pleasant CSD Athletic Program during the 2018-2019 school year. The information may include the student's name, grade, sport(s) of participation, gender, jersey number, height, weight, game, seasonal or team participation statistics, awards received, previous and future institutions of attendance, photographs/digital images or videotapes of students in media print, school newspapers, the District's website or other electronic and broadcast outlets.
I am over the age of 18, have read the above information, I understand the information and will be bound by its terms on my own behalf and on behalf of my child. This information will not be released if the School District determines that the information will be used for commercial, solicitation or fundraising purposes.