23-24 Media Authorization Form

MEDIA AUTHORIZATION FORM

For marketing and publicity purposes, there may be times when the school / parish / archdiocese wishes to use your and/or your child/ren’s image, name, recording, or academic work in various media for marketing and/or publicity purposes. You may choose the appropriate level(s) of authorization. For your convenience, this one form covers all members of your family on one form.

LEVELS OF AUTHORIZATION

 
Archdiocese of St. Louis: I grant permission to use my or my child/ren’s image, name, recording, or academic work in communications that include, but are not limited to, archstl.org, St. Louis Review, Catholic St. Louis magazine
Archdiocese Permission

Parish/School: I grant permission to use my or my child/ren’s image, name, recording, or academic work in communications that include, but are not limited to, parish bulletin, school newsletter, student newspaper, admission videos, parish/school website and social media.

School/Parish Permission

Sponsoring organizations: I grant permission to use my or my child/ren’s image, name, recording, or academic work in websites, videos, and publications created by independent foundations and corporations that support Catholic education but are not legally connected to the Archdiocese of St. Louis, including, but not limited to, Today and Tomorrow Educational Foundation, Roman Catholic Foundation of Eastern Missouri, Access Academies, English Tutoring Project, and United Way

Sponsoring Organization Permission

Secular media outlets: I grant permission to use my or my child/ren’s image, name, recording, or academic work in secular media communications including, but not limited to, print, radio, TV and internet (Examples: St. Louis Post‐
Dispatch, KMOX radio, and KSDK‐TV).

Secular media outlets Permission

FAMILY AUTHORIZATION