Editing previous response:

Please fix the highlighted areas below before submitting.

Photo Release 2025

2025-2026 Student Photo Release Consent Form

Dear Parent/Guardian:

GJA website, pamphlets, and advertising are tools to communicate with school families, teachers, prospective students and the larger community. To enhance this experience, we use photos that demonstrate student and family involvement in various activities. In addition, there may be times that we invite the local news to our school to cover an event and your child's picture may be taken. For students' images to appear on the GJA website or any publication, it is required that we obtain parental/guardian permissions.

Please check the boxes and sign below to authorize parental/guardian consent or rejection to publish your child(ren)'s photograph with a reference to their name or work (artwork, writings, etc.) on GJA's website, pamphlets, advertising, or other.

Please note: group photos of students without references to names may be published, but it is against GJA's policy to publish any individual student photos without permissions.

Please complete the form below. Required fields marked with an asterisk *

Parent/Guardian Name*

Answer required for "Parent/Guardian Name"

Student #1 First Name*

Answer required for "Student #1 First Name"

Student #1 Last Name*

Answer required for "Student #1 Last Name"

Student #2 First Name

Answer required for "Student #2 First Name"

Student #2 Last Name

Answer required for "Student #2 Last Name"

Student #3 First Name

Answer required for "Student #3 First Name"

Student #3 Last Name

Answer required for "Student #3 Last Name"

I give Gotlib Jewish Academy permission to reproduce and publish photograph(s) of my child(ren) through the the following medias. *

Check box to consent. Leave box blank to decline consent.

Answer required for "I give Gotlib Jewish Academy permission to reproduce and publish photograph(s) of my child(ren) through the the following medias. "

Student photo may be published on social media

Student photo may be in weekly newsletter

Individual photo with student's name referenced may be published

Individual photo without student's name referenced may be published

Group photo with student's name referenced may be published

Student's work may be published (artwork, writings, etc.)

I do not consent to any photos being published in any way.

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"