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CHILD PHOTO RELEASE FORM

Photography Consent & Release Form

Parent / Guardian Consent for Photography & Media Use

Photo & Media Release Authorization

I, the undersigned parent or legal guardian of the child listed above, hereby grant permission to allow my child’s photograph(s) and/or likeness to be used in any and all publications, including but not limited to:

  • Website and social media platforms

  • Marketing materials (digital and print)

  • Promotional campaigns, including summer camp promotions


I understand that these images may be used without further notification or compensation. I waive the right to inspect or approve the finished product, advertisement, or written copy that may be used in connection with the image(s).


I release the organization from any liability associated with the use of these photographs, video recordings, or likenesses.

This authorization will remain in effect unless revoked in writing.

I certify that I am the parent/legal guardian of the child listed above and that I have read and understand this release form.

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As a Certified Wilson Reading Dyslexia Therapist, I partner with learners of all ages and skill levels to unlock their reading potential. Through personalized, evidence-based intervention, I build strong foundational skills while nurturing confidence, motivation, and a lasting love of learning. With patience, compassion, and deep understanding, I create individualized plans that honor each student's unique strengths and goals.  


Sincerely, 
Heather Chapman
703-282-9987
trianglereadingacademy.com

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