St. Mark’s School
Student Press Release &
Photo/Video Release Form
The St. Mark’s Office of Communications asks that you complete this form so that news of your son’s/daughter’s accom-
plishments at St. Mark’s may be distributed to your hometown press. Without this completed form, the school will not
be able to release this information. Please take a few minutes to provide all of the information requested, especially the
proper name and address of your local papers’ editorial offices. This also serves as your authorization to use your child’s
likeness in our own promotional materials.
I hereby give permission for images of my child, captured while at St. Mark’s through video, photo and digital camera, to be used solely for
the purposes of St. Mark’s promotional material, website and publications, and waive any rights of compensation or ownership thereto.
Name of Parent/Guardian (please print):
Please check the appropriate boxes below and return this form if you do NOT wish your child’s name or likeness to be used:
q on the St. Mark’s website q in St. Mark’s publications q in coverage of the school by external media outlets
Please return to:
St. Mark’s School, 25 Marlborough Road, Southborough, MA 01772, Attn: Office of Communications