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Photo/Video/Media Permission Form
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Student Name:
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Student Grade:
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Permission #1

I give permission for the school or school division to use student work samples, photos and videos of my child for school or school division publications including newsletters, websites and social media; as well as news media. Full names of students will not appear in public materials without additional parent consent.

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Permission #2

I give permission for the school to use my child's school photo and any candid photos in the school yearbook?
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Please write Parent/Guardian Name:
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Entering and submitting this form acts as parent signature. Please fill in the date.
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AP 180 LOCAL AUTHORITY FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY 
AP 151 MEDIA RELATIONS
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