* Required

Dear Parent/Guardian:

Throughout the school year, photo opportunities/multi-media opportunities exist both in the classroom and during special events. These opportunities may include, but are not limited to athletics, theater productions, activities covered by media, award assemblies, and pictures posted on the school website and social media.

*Please fill out this form noting your preference.

Student Namerequired

Current Grade for 2018-19required

Parent/Guardian Namerequired

I give permission for my child to be photographed and published without his/her name on the school website.

Yes No

I give permission for my child to be photographed and published without his/her name on school social media outlets.

Yes No

I give permission for my child to be photographed and published without his/her name in school publications.

Yes No

I give permission for my child to be photographed and published in media publications (newspapers, magazines) in conjunction with news items (athletics, awards, theatre etc.)

Yes, without name Yes, with name No

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