HISD Student Media Consent and Release Form
This form provides consent for the Houston Independent School District to use student media for promotional purposes. It ensures parents or guardians understand the implications of participation. Proper completion ensures your child's media can be shared responsibly.
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How do I fill this out?
To fill out this form, start by providing the name of your child, their grade, and your contact information. Make sure to read the consent statements carefully to understand your rights as a parent or guardian. Finally, sign and date the form to give your official consent.

How to fill out the HISD Student Media Consent and Release Form?
1
Print the form or open it digitally.
2
Fill in your child's name and grade.
3
Provide your contact details.
4
Read the consent statements thoroughly.
5
Sign and date the form.
Who needs the HISD Student Media Consent and Release Form?
1
Parents need this form to allow their children to be featured in school media.
2
Teachers require the form to ensure compliance with media policies.
3
School administrators use this form for authorization during events.
4
Media organizations need this consent for broadcasting or publishing.
5
Students must have this form submitted to participate in media-related activities.
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What are the instructions for submitting this form?
To submit this form, please return it to your child's school office either in person or via email to the designated address provided by the school. Alternatively, you can fax it to the school's main office. Ensure all fields are completed, and keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
For the years 2024 and 2025, ensure this form is submitted within ten school days of distribution in September. Default approval will occur if submissions are not made promptly. Watch for announcements regarding specific distribution dates.

What is the purpose of this form?
The primary purpose of this form is to obtain consent from parents or guardians for the Houston Independent School District to use students' media in various promotional materials. This consent ensures compliance with legal standards and protects both the district and families involved. By completing this form, parents gain clarity on how their children's media presence will be managed.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Child: The full name of the student.
- 2. Grade: The student's current grade level.
- 3. Address: The home address of the child.
- 4. City, State, Zip: The locality details including city, state, and ZIP code.
- 5. Signature of Parent or Guardian: The signature affirming consent by the parent or guardian.
- 6. Date: The date on which the form is signed.
- 7. Phone Number: The contact number for further communication.
What happens if I fail to submit this form?
If this form is not submitted, your consent is assumed after ten school days. The district will proceed to utilize the media for promotional activities without further notice. It is essential for parents to understand the implications of non-submission.
- Lack of Consent: Without submission, there may be misunderstanding of consent.
- Media Usage Without Approval: Publications may occur without explicit consent from parents.
- Inability to Opt-Out: Failure to submit does not provide an option to opt-out of media exposure.
How do I know when to use this form?

- 1. School Events: Parents fill this form during school events involving media.
- 2. Media Features: Use this form whenever a child is featured in promotional materials.
- 3. Legal Compliance: This form ensures compliance with legal media regulations.
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Is there a guide for filling out the form?
Yes, we provide a simple how-to that guides you through the completion process.
What happens if I don't submit the form?
Failure to submit the form will automatically grant approval for media usage.
Are there any important deadlines?
Please make sure to submit within ten school days of distribution.
Who should complete this form?
Parents or guardians are responsible for completing and signing this form.
What if I need to make changes after submission?
Once you've submitted the form, contact your school for assistance.
How will this information be used?
The information provided will be used solely for media purposes by HISD.
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