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MEDIA CONSENT FORM

Student Media Release Notice:  Students may be featured in efforts to promote the programs, activities, and accomplishments of Making Visions Possible (MVP). Student photographs, video recordings, audio recordings, interviews, artwork, and/or written work may be used for educational, informational, training, and public awareness purposes.

These materials may appear in a variety of formats, including, but not limited to, newspapers, newsletters, brochures, displays, annual reports, training materials, websites, social media platforms, radio broadcasts, television programs, videos, DVDs, and other print or digital media.

MVP is committed to using student images and information respectfully and appropriately that reflects the mission and values of the program. No student information will be used for commercial purposes or financial gain..

Media Consent and Release of Liability: By signing below, I hereby grant permission to Making Visions Possible (MVP), The Center for Family Guidance (CFG), its stakeholders, employees, representatives, partners, and authorized media organizations to photograph, videotape, audio record, and/or otherwise capture the image, voice, and likeness of my child for use in promotional, educational, informational, and program-related materials, including print, digital, electronic, social media, audio, video, and film formats.

a. I understand and agree that MVP, CFG, and their representatives may use such photographs, recordings, interviews, or likenesses without compensation. I further understand that these materials will not be used for commercial profit or monetary gain and that neither I nor my child will receive financial compensation for participation or for the use of such materials.

b. I hereby release, discharge, and hold harmless MVP, CFG, their employees, agents, representatives, and affiliated organizations from all claims, liabilities, damages, or causes of action, whether known or unknown, arising from or related to the use, publication, reproduction, or distribution of these materials.

I certify that I have read and fully understand this Media Consent and Release of Liability. I voluntarily agree to its terms and conditions and grant permission for my child's participation as described above.

Student Name: ______________________________________

Parent/Guardian Name: _______________________________

Parent/Guardian Signature: ___________________________

Date: ______________________________________________

Thanks for submitting!

OPERATING HOURS

Staff members are in the office and available during school hours.

MONDAY - FRIDAY

7:00 AM - 3:00 PM

ADDRESS

20 S. John F. Kennedy Way

Willingboro, NJ 08046

SOCIAL MEDIA

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609-835-8800 EXT. 3051
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