We are sending you this parental consent form to both inform you and to request permission for your child’s video/photo/image and personally identifiable information to be published on our newsletter, bulletin, Facebook page, website, or other social media outlets and publications.

As you are aware, there are potential dangers associated with the posting of personally identifiable information on a web site since global access to the Internet does not allow us to control who may access such information. These dangers have always existed; however, we as a Publishing House do want to celebrate your child and his/her work. The law requires that we ask for your permission to use information about your child.

Pursuant to law, we will not release any personally identifiable information without prior written consent from you as parent or guardian. Personally identifiable information includes student names, video, photo or image, residential addresses, e-mail addresses, and phone numbers.

If you, as the parent or guardian, wish to rescind this agreement, you may do so at any time in writing by sending a letter to our Administrator/Support Staff to support@seedshouse.org, and such rescission will take effect upon receipt by the Administrator/Support Staff.

Check two of the following choices: