PGC Development Center
BEFORE & AFTER
School Program
TUTORING | DEVELOPING | MENTORING
PUBLICITY RELEASE
Throughout the school year PGC Development Center will conduct activities that
may be publicized through local or national news media or that may be used for
promotional purposes only.
These activities may include interview sessions with news reporters, photographs of individual students or groups of students for newspapers or various publications including newsletters, calendars, portfolios, web sites, brochures, videotaping for local and national television news programs, cable programming, promotional videos, etc.
Please check one of the two statements below. Sign and return this document to Ms.
Hawkins.
_____ I/we grant permission for my/our child’s name, voice and photographic likeness to
be used by PGC Development Center as stated above, or reporters, journalists, or
photographers employed by news media.
_____ I/we do not give permission for my/our child’s name, voice and photographic
likeness to be used by PGC Development Center as stated above, or reporters,
journalists, or photographers employed by news media.
________________________________
Child’s Name
______________________________________________________________
Signature of Parent(s) or Guardian(s)Signature of Parent(s) or Guardian(s)
________________________________
Date