Office of Communications and Media Relations 52 Chambers Street, New York, NY 10007 Tel: 212.374.5141 Fax: 212.374.5584 

CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE A STUDENT FOR NON-PROFIT USE (e.g. educational, public service, or health awareness purposes) 

Student Name: Niko Dekovic School:THE HIGH SCHOOL OF ART AND DESIGN 

I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes 

of the Student named above by The High School of Art and Design 

. 

I also grant to The High School of Art and Design 

the right to edit, use, and reuse said products for non- 

profit purposes including use in print, on the internet, and all other forms of media. I also hereby release the New York 

City Department of Education and its agents and employees from all claims, demands, and liabilities whatsoever in 

connection with the above. 

Signature of Parent/Guardian (if Student is under 18):

 Date: 5/4/2023

Address of Parent/Guardian: 254 west 18 street