PHOTO AND MULTIMEDIA CONSENT FORM

We, at the School of Saint Anthony, in our desire to celebrate students’ activities, works,
and achievements on our website, social media accounts, school newsletter,
newspapers, promotional videos, and in-school presentations, seek your permission to
allow us to publish your child’s identifiable information which might consist of his/her
name, level represented, achievements received, photos, videos, etc. whenever the
occasion calls for it.

Pursuant to the law, we will only post such, with your consent.

Thus, kindly check one of the following choices:

YES, I am allowing the School of Saint
Anthony to use my child’s photos, image, or
name for the uses stated above.

NO, I am not allowing the School of Saint

Anthony to use my child’s photo, image, or
name for the uses stated above.

Pupil’s Name Kevin Benedict B. Tugano

(Surname, First Name, Middle Initial)

Grade Level Grade 6

Parent’s/Guardian’s Name Jovelyn B. Tugano

(Surname, First Name, Middle Initial)
Parent’s/Guardian’s Signature

Relation to Pupil Jovelyn B. Tugano

Date Today Wednesday August 4 2021