Website Image Use Consent Form

 

This consent form allows us to place a photo of your child during an activity or interacting with other students while in Rose Hill Child Care. With your permission, I will publish the image of your child.

 

As there are potential dangers associated with internet publications, I take great precautions as to what is published.  On the same note, the website can serve as a networking tool for families to share successes of your child with other family members and their friends.

 

Check one of the following:

 

____  I/We give permission for my child’s photo/image only to be placed on Rose Hill Child Care’s website.

____  I/We do not give permission for my child’s photo/image to be place on Rose Hill Child Cares’ website.

 

Student’s Name: ____________________________________________

Parent/Guardian (Please print): _______________________________________

Signature of Parent/Guardian: ______________________________________________

Relation to Student: ____________________________________________

Date: __/__/____