2024-2025 Archdiocese of Atlanta Media Release Form

Required

Media Release Form
2024-2025 School Year

Blessed Trinity Catholic High School has active promotion and development programs. Students may appear in photographs, publications, films, interviews, web pages or videos made in conjunction with these and other school-sponsored activities. These photos or videos may appear in school, area or national media.

*Please fill out one form for each student at Blessed Trinity Catholic High School.

Please check all applicable:required

I give my consent for my child to appear in any publication, film, interview, web page, or video for Blessed Trinity Catholic High School.

I do not give my consent for my child to appear on the school’s website for Blessed Trinity Catholic High School.

I do not wish for my child to appear in or be photographed in any Blessed Trinity Catholic High School publication, film, interview, web page or video. This does not include the yearbook or the school newspaper.

I hereby waive and release any claim against Blessed Trinity Catholic High School and the Archdiocese of Atlanta from any responsibility or liability for any claims arising from the publication or reproduction of any photographs, films, interviews, web page or videos.

Child's First Namerequired

Child's Last Namerequired

Graderequired

Date (mm/dd/yyyy)required

Parent Primary Contact Phone Numberrequired

Must contain only numbers

Parent/Guardian Email Addressrequired

Parent/Guardian Electronic Signaturerequired

I affirm that entering my primary contact number and submitting this form constitutes an electronic signature of this form.

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