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Home
About Us
Our Beliefs and Mission
Our History
Contact Us
News
Events
Photo Gallery
Admissions
Ways to Enroll
Apply Online
Request Information
Scholarships/Financial Assistance
Tuition and Fees
Parent Referral Program
Required Documents
FAQ
Online Enrollment Handbook
Student Life
Highlight
High School Placement
Faith Life
Enrichment Programs
Typical Day
Before and After School Program
Parent's Tab
Summer Reading and Assignments
School Supplies
Principal's Corner
School Calendar
School Meals
School Uniforms
Parent Resources and Forms
Staff & Faculty
Class Pages
Support Us
Donate
Alumni
Media Authorization and Release
Parent's Tab
Summer Reading and Assignments
School Supplies
Principal's Corner
School Calendar
School Meals
School Uniforms
Parent Resources and Forms
Student Information Form
After School Program
Media Authorization and Release
Textbook/Software/Hardware Request Form
Parent and Student Handbook
DATA PRIVACY CONSENT
Technology Use/Telecommunications Policy
Parent Teacher Organization
Family Fundraising Fee Form
St. Lucy School
2024 - 2025
MEDIA AUTHORIZATION AND RELEASE
Due Sept 20, 2024
The maximum number of form submissions has been reached. This form is currently not available.
I hereby consent to the taking of photographs, movies, videos, and images capable of reproduction in any medium of me or my children or children of whom I am the designated guardian
REQUIRED
(Select One)
I AGREE
I DO NOT AGREE
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Parent / Guardian
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
by the Department of Education, Archdiocese of New York and/or the Catholic School Region and their parents, affiliates, trustees, directors, members, officers, employees, volunteers, agents and contractors (the “School”).
I hereby grant to School the right to edit, reproduce, use and reuse images for any and all purposes including, but not limited to, advertising, promotion and display, and I hereby consent to the editing, reproduction, use and re-use of said images in any and all media in existence and all media yet in existence including, but not limited to, video, print, television, internet, and podcasts.
I forever grant, assign, and transfer to School any right, title and interest that I and/or my child/children may have in any images, including negatives, taken of me and/or my children by School. I hereby agree to release, indemnify and hold harmless School from any and all claims, demands, actions or causes of actions, loss, liability, damage or cost arising from this authorization.
Student's Name
First Name
REQUIRED
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Last Name
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Grade
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First Name
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Last Name
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Grade
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