Media Release Form

Complete the below media release form for your child’s name and photo to be included in classroom composite images, yearbooks and other school commissioned products that may be available to other student families from your school to purchase and/or take home.

Parent/Guardian Info*

First Name (required)

Last Name (required)

Your Email Address

Children's Info (Who is this Media Release For?)*

Child's First Name (required)

Child's Last Name (required)

Child's Classroom (required)

Child's School* (required)

Click to accept Picture Day Media Release Form (required)

Media Release:

I hereby grant to Pause Photography + Design, its agents, successors and assigns, the worldwide right in perpetuity to photograph, film, videotape or audiotape the following subject matter for any and all reasonable purposes including promotion, archival storage, distribution to school and display in historical or other publications: My or my child’s person, voice and name in regard to participating in School Picture Day. I represent that this right will no infringe or otherwise violate any copyright, proprietary right, individual right, or the right of privacy of another person or organization, and I hereby release, indemnify and save harmless Pause Photography + Design, its employees, agents, successors and assigns from and against all claims arising from a breach of this representation. I also waive any copyright moral rights I have in the subject matter.