Student Release Form Template

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Updated – 2025 /2026


Disclaimer

The information provided is intended solely as a general template for a document that grants permission from students for participation in specific activities. It does not constitute legal advice and should not be relied upon as a substitute for consulting a qualified attorney familiar with education law or related regulations. Laws and requirements may differ depending on the jurisdiction, and adjustments may be necessary to ensure compliance. The use of this template is at the user’s own risk, and we accept no liability for any errors, omissions, or consequences resulting from its use without professional review.


PDF

PDF

Word

Word

Sample

Sample

Template

Template


Please note that this sample Student Release Form is for illustrative purposes only. Slight modifications may be necessary to fit specific circumstances and legal requirements.

Student Release Form Example

Parties Involved:

School: Green Valley High School
Address: 789 Education Lane, Springfield, IL 62704

Student: Alex Johnson
Parent/Guardian: Maria Johnson
Address: 123 Maple Street, Springfield, IL 62704

Purpose of Release:

This document serves as a formal release of liability for participation in school activities, field trips, or other events organized by Green Valley High School, and grants permission for the school to use photographs or videos of the student for promotional purposes.

Details of Release:

The undersigned parent/guardian understands and agrees that the student participates voluntarily and releases Green Valley High School, its staff, and affiliates from any claims or liabilities arising from participation in school-sponsored activities, except in cases of gross negligence or willful misconduct.

Date: ________________________

________________________
Maria Johnson (Parent/Guardian)
________________________
Alex Johnson (Student)