RETURN TO MAIN SCHOOL FORMS PAGE/REGRESAR A LA PÁGINA PRINCIPAL

Parent's Permission to Videotape

Dear Parent or Guardian

It is necessary that you fill out this form so that your child will be able to participate in videotaped activities or those in which photographs are taken. If you have questions, you can call __________________.

__________________________ Date

______________________________, parent or guardian of _________________________ (Parent/Guardian's Name) (Student's name)

__________ YES, I hereby give my permission to ________________ County Public Schools to use my child's photograph, likeness and/or voice in any way that would reasonably and properly portray the program at ___________________ (school) and/or the education of the children. I understand that the videotape and/or photos will become the property of the school. I also release _____________ County Public Schools from any damages in using my child's photograph, likeness and/or voice. I do further certify that I am of full legal capacity to execute the forgoing authorization and release.

__________ NO, I do not give my permission for the use of my child's photograph, likeness and/or voice as described above.

________________________________ (Parent/Guardian's Signature)