Family & Community Learning Academy
Community Registration
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FCLA
Name *
Email address *
Phone *
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Name of Community Based Organization *
Name of Faith Based Organization *
On occasion, representatives from and/or employees of Tacoma Public Schools may wish to photograph, videotape or interview individuals in connection with school programs, projects or events. In order to release photographs, video footage and comments for publication on the web or broadcast on TPS TV, we need written permission. To give your consent, please complete and sign this form.   I give permission to be photographed, videotaped and/or interviewed by representatives from Tacoma Public Schools for educational or public relations purposes. I authorize the use and reproduction by Tacoma Public Schools of any and all photographs and/or video taken of me, without compensation to me. All photographs and recordings shall be the sole property of Tacoma Public Schools. I waive any right to inspect or approve the finished photographs, video recordings, audio, artwork or printed materials that may be used in conjunction with them. *
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I am using my name below as my signature
If you have any questions contact communitypartnership@tacoma.k12.wa.us
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