Student Media Release Form Students Media Release Form Parental release form for photos and/or videos of students from the NCMEA Conference. NCMEA will take photographs during the conference for archival and publicity purposes. These images may be used on the website, conference recordings, newsletter and other NCMEA printed materials. By submitting a completed form you are granting NCMEA media permission of your child.Student Name (First and Last)* First Last Parent/Guardian Name (First and Last)* First Last Date of Agreement* MM slash DD slash YYYY Select Permission Status* Yes, I give NCMEA permission to photograph and video my child No , I do not give NCMEA permission to photograph and video my child Parent/Guardian Electronic Signature (Full Name)* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix
