Photo/Social Media Release

Student Name

Student Consent

Pictures or Videos Will Be Used in the Following Ways: PVNS Facebook & Instagram, Website, and Director Newsletter

I hereby grant Penfield Village Nursery School & Kindergarten permission to release pictures or videos of my child, listed above.

DO NOT post pictures of my child on any of the above.

Note:

All students will be included in their classrooms SECURE SchoolStatus website/pictures. SchoolStatus is used to share class information and photos of your child throughout the day. Those photos are only shared with members of the class. If you have concerns regarding SchoolStatus, please contact the PVNS office at (585) 381-7300 or mjesmer@penfieldvillage.org to discuss.

By signing below, I certify that the above information is accurate. I attest that I will not use PVNS published photos from school staff (including those downloaded from SchoolStatus) on any form of Social Media.

Parent/Guardian Signature

Reset

Date

Use of Information

With Your Consent, the Following Contact Information Will Be Shared: Name, Phone Number, Email, and Home Address

I hereby grant Penfield Village Nursery School & Kindergarten permission to share contact information on class lists with the families in my child’s class.

I do not grant permission for PVNS to share my contact information with class parents/guardians.

I would like the above information shared with the exception of:

Please List Exceptions

Parent/Guardian Signature

Reset

Date