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Media Release Form 2016-17
BLIND BROOK-RYE UNION FREE SCHOOL DISTRICT
SCHOOL DISTRICT RELEASE FORM:

STUDENT INTERVIEWS, PHOTOGRAPHS AND VIDEOTAPES

Dear Parents/Guardians:
Please complete this form before September 1, 2016.
Thank you for your cooperation.

Required
Student's Last Name
Your answer
Student's First Name
Your answer
Parent's First & Last Name
Your answer
Student's Grade
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