Media/Image Use Permission Form

This form grants permission to use media/images of you and your family. Please read the Image Use Policy for usage details.

By completing this electronic form, you grant permission for the image or photo of any of those named below to be used in the manner described in the St. Ignatius Image Use Policy.  Any child without the Media/Image Use Permission Form on file will not have their image used in any publicity, except in group shots. No names will be attached to the images of any child.

Media/Image Permission Form

  • Date Format: MM slash DD slash YYYY