Editing previous response:

Please fix the highlighted areas below before submitting.

Consent to Photograph, Film, Videotape and Recording

I hereby give my consent to Los Angeles College Prep Academy to take or authorize others to photograph, film, videotape and/or record the voice of my child:

I understand that these photographs/film/videotape/recordings may be used for educational purposes through the medium of radio, television, newspaper, film or internet.

Name of Student *

Answer Required

Date of Birth*

Answer Required

I certify that I agree to the above terms.*

Answer Required

Yes

Signature of Student or Parent if Student is a Minor*

Answer Required

Date*

Answer Required