EmailMe Form - 24/25 PHOTO RELEASE FORM

*

Yes

No

I give permission for my child to be featured in photographs and/or videos to be used in flyers/publications (print or online) for Immanuel Lutheran School.

*

Yes

No

I give permission for my child to be included in pictures taken for classroom use and internal use only, such as private classroom Facebook pages and class newsletters.

Your child’s first name may accompany their photo, but no last name will be included with your child’s picture when publishing. Please be sure to complete this form and include each child in your family that attends Immanuel Lutheran-Wentzville.

Child's Name *

First Last

Grade *

Child's Name

First Last

Grade

Child's Name

First Last

Grade

Child's Name

First Last

Grade

Parent Electronic Signature *

First Last

*

I understand that checking this box constitutes a legal signature.

Parent Email *

632 E Hwy N