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Schools & Childcare

Student Media Release Form PDF template

Make it yours. Send the link. People fill it in online, and you get the completed PDF back.

Obtain guardian permission to use a student photograph or video in specific places, naming the school website, printed materials and social media separately so no use is assumed.

Opens your own copy — rename, add or remove any field. Free for one form, no signup, no credit card.

Download blank PDF

Print it and fill it in by hand.

How to use this template

  1. 1 Click "Use this template" to get your own editable copy.
  2. 2 Add, reorder, rename or remove rows — the document updates as you edit.
  3. 3 Publish and share the link. Every response arrives as a completed PDF in your submissions list, and you can export all the answers as one CSV.

Fields included

A starting point — change any of these in your copy.

  • Student full name
  • Parent or guardian name
  • Permitted use on the school website
  • Permitted use in printed materials
  • Permitted use on social media
  • Restrictions
  • Date

Works the same with your own PDF — upload one and turn it into a form →

Student Media Release Form template preview
An example to start from. Your copy is yours to change.

Ready to send it out?

Open your own copy, change whatever you need, and share the link. Completed PDFs come back to you.

Free for one form, no signup, no credit card.

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