Pacific Collegiate School

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Student Media Exposure Permission Form

Please complete the form below. Required fields marked *

Student Information

Parent Information

School Newsletter

Throughout your student's enrollment at PCS, there may be opportunities to recognize students for accomplishments/activities in the School Newsletter through printed articles, photographs, or works.

Local Newspaper/Media

Throughout your student's enrollment at PCS, there may be opportunities to recognize students for accomplishments/activities or to showcase participation in activities in the local newspaper or local TV broadcast through printed articles, photographs, or video/audio.

For educational non-commercial use only.

PCS Website and Other Websites

Throughout your student's enrollment at PCS, there may be opportunities to recognize students for accomplishments/activities or to showcase participation in activities. I understand that the posting of pictures, names and student work may be on the school website and other websites.

For educational non-commercial use only.

I hereby release, hold harmless, indemnify, and defend Pacific Collegiate School, the PCS Board, officers, agents, directors, employees, and volunteers from any and all liability and legal or equitable claims of any kind related to such work being published on the District Website or the world-wide web.

I give permission to the school to use such pre-described media forms of my child.

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