I,______, Give Tagteach and It S Permission to Record the Image And/Or Voice of the Mi

E-Mail: [email protected] www.tagteach.com TAGteach International Photo/Video Release Form

I, ______, give TAGteach International and its associates permission to record my image and/or voice and/or those of my child, and I grant TAGteach International all rights to use these sound, still, or moving images in any medium for scientific, educational, promotional, advertising, or any other lawful purposes that support the mission of TAGteach International. I hereby release and discharge the photographer and TAGteach International, heirs, executors, assigns and any designee from any and all claims and demands arising out of or in connection with the use of such images and or voice recordings.

Allowable uses (circle your preferences - blank assumes YES):

YES NO Posting on TAGteach public social media (Facebook, Twitter, etc.)

YES NO Posting as part of an article on TAGteach blog

YES NO Educational use in private TAGteach online training

YES NO Educational use at live TAGteach training events

YES NO Private sharing with other professionals for educational purposes

YES NO Internal use for TAGteacher certification assessment

Name of TAGteacher ______

Name ______

Name of child ______

Address ______

______

Email ______(please print)

______Signature Date