Photo, Audio & Video Release Form
Hello VVS Middle School Families - Throughout the year we will take several photos, videos & possibly audio of educational activities.  We would love to be able to share these great opportunities with you, please check out our Facebook page VVS MS.  

ONLY complete the form below if you DO NOT give us permission to take photos, videos, and audio of your child.


What does this mean?

As part of our goal in sharing with you our work and that of our students, we ask that you give consent to the building principal and anyone authorized by VVS Central School District the use of the below in print and on television, websites, radio and social media (i.e. our Facebook page, newspaper articles..etc):
Fill out the form below if you DO NOT give us permission to use the following: 
A photograph of my child
The name of my child
A video and/or audio recording of my child
A picture or video featuring my child

If you give VVS consent, you do NOT fill out the form below.  

ONLY fill below if you DO NOT give the district consent. 



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Email *
Student Name (List only middle school students): *
Student Grade (List only middle school students): *
Advisory Teacher (For middle school students):
Parent/Guardian filing out form: *
Parent/Guardian cell phone number: *
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