The Missouri Reader Photo/Video Release Form
I hereby authorize The Missouri Reader (TMR) and Missouri Literacy Association (MLA) to publish the photographs, videos, posters, and/or writings sent by me, for use in TMR’s print/online publications, website, advertisements, and/or educational conference materials.

I release TMR and MLA from any expectation of confidentiality for myself and attest that I have received permission for submission of each student’s work from a parent or legal guardian.  This shows that I have the authority to authorize TMR and MLA to use each student's photographs, videos, and other projects for publication.

I acknowledge that since participation in publications and websites produced by TMR and MLA is voluntary, neither the minor children nor I will receive financial compensation.

I further agree that participation in any publication and website produced by TMR and MLA confers no rights of ownership whatsoever. I release TMR and MLA, its contractors, and its employees from liability for any claims by me or any third party in connection with my participation or participating students.

Sign in to Google to save your progress. Learn more
Name - Typing your name below denotes that you have received permission for the pictures and videos included with your submission. *
*
Title of manuscript submission *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report