Media consent form – Ar-Rayyan Quran Academy

Online Submission

Please enter all required information, sign and SUBMIT

AR-RAYYAN INSTITUTE / QURAN ACADEMY(AQA)
Throughout the Academy school year, students/teachers/parents/volunteers/ families may be highlighted in efforts to promote ArRayyan Institute/ Quran Academy activities on onsite & online, Web, Facebook, Zoom sessions, Picnics, Get Togethers, Family Nights, Annual Dinner & during any other Institute gatherings & programs and also to share achievements. For example, students/teachers/parents/volunteers/ administrators/directors/families may be featured in materials to increase public awareness of our academy through Newspapers, Brochures, Booklets, Flyers, Media Recordings, Annual Dinner recordings, Class Recordings, Website, Facebook, YouTube Channels, Radio, TV, the Web, displays, and any other types of media outlets.

I, as the parent or guardian of the chlidren (mentioned below), hereby give ArRayyan Institute/ Quran Academy and its employees, administrators, directors, representatives, and authorized media organizations permission to print, photograph, publish and record my child/children, myself and my family for use in Audio, Video, Website, YouTube, Facebook, short Films, or any other electronic, digital and printed media.

a. I am also fully aware that I will not receive monetary compensation for my child’s participation.
C. I acknowledge that I will not seek to have the ArRayyan Institute Inc/ Quran Academy, its Administration, Directors, Employees, Teachers, Volunteers and any other representatives held liable for anything known or unknown, arising out of the use of this Media/Material.
b. Also, I further release and relieve ArRayyan Institute Inc/ Quran Academy, its Administration, Directors, Employees, Teachers, Volunteers and any other representatives from any liabilities, known or unknown, arising out of the use of this Media/Material.
Consent
I certify that I have read the Media Consent and Release Liability statement and fully understand its terms and conditions.
Name of Child/Children*
Name of Parent/Guardian*
Parent 1 phone*
Parent 2 phone*
Email*
Address*
Address City State Zip
Signature of Parent/Guardian*
Date*
MM slash DD slash YYYY

Online Submission

Please enter all required information, sign and SUBMIT

AR-RAYYAN INSTITUTE / QURAN ACADEMY(AQA)

For Kids and Adults

Contact Info

Follow us on:

Quick Contact