Minor Model/School Media Form
Only complete this form if you DO NOT want your child's photo used in media and marketing
If you DO NOT want your child to be a part of video or photography used in media, marketing, or press releases for Liberty Classical Academy, please fill out and sign this form
Name of Minor(s) (Printed) and Grade(s):
Guardian's Name (Printed):
My child(ren), named above, may not have his or her photo taken or be videotaped:
when they are part of a group
when they are used in printed media
when they are used in social medial (YouTube, Facebook, Twitter)
Never submit passwords through Google Forms.
This form was created inside of Liberty Classical Academy.
Terms of Service