MEDIA RELEASE This field is hidden when viewing the formDate SubmittedYour Name* First Last Media Release Consent* Consenting for Yourself Consenting for Your Child (under 18) Both For Staff-Uploading Media Release Manually Media Release Adult Consent* I Consent & Agree to the FollowingI hereby grant to SFEC – South Dakota Statewide Family Engagement Center (hereafter referred to as SFEC) permission and consent to publish my name and photograph (and by video photography) my image for use in SFEC’s videos, printed publications, websites, and social media, and to freely use such images in the exhibition, advertising, editorial use and publicizing thereof as SFEC, its assigns, successors and licensees may elect. I acknowledge that since my participation in videos, print publications, websites, and social media produced by SFEC is voluntary, I will receive no financial compensation. I further agree that my participation in any videos, print publications, websites, and social media produced by SFEC confers upon me no rights of ownership whatsoever. I also release SFEC, its contractors, and its employees from any and all liability for any claims by me or any third party in connection with my participation. Media Release Parental Consent* I Consent & Agree to the FollowingI hereby grant to SFEC – South Dakota Statewide Family Engagement Center (hereafter referred to as SFEC) permission and consent to publish my child's name (listed in this agreement) and photograph (and by video photography) my child's image for use in SFEC’s videos, printed publications, websites, and social media, and to freely use such images in the exhibition, advertising, editorial use and publicizing thereof as SFEC, its assigns, successors and licensees may elect. I acknowledge that since my participation in videos, print publications, websites, and social media produced by SFEC is voluntary, I or my child will receive no financial compensation. I further agree that my child's participation in any videos, print publications, websites, and social media produced by SFEC confers upon me or my child no rights of ownership whatsoever. I also release SFEC, its contractors, and its employees from any and all liability for any claims by me, my child, or any third party in connection with my child's participation. Child's Name Consenting for*Enter your Child's name. Separate by commas if you are consenting for one or more. Required for Children under 18.Phone*Email (optional) If you share your email, a copy of your Media Release form will be sent to you. Your Initials (e-signature)*Signature (e-signature)*Upload Media Release Forms*Media release forms can be uploaded as images via your phone or mobile devices (take a photo) or as pdf's. Depending on file size and network speed files may take some time to upload. Appreciate your patience!Consent I agree to the privacy policy.CAPTCHA Δ