2013-2014 MEDIA RELEASE PERMISSION FORM

(This form only applies to Mr. Prindle's Forensic Science and General Chemistry Classes)

Recording of various school and classroom activities through the use of photography, audio, and video equipment is done by Byron Center Public Schools throughout the year. The recording might circulate to other students or classrooms, be used in district publications, by district personnel in presentations at local, state, or national conferences, on the district website, staff website and/or the internet, or be shown on local TV.

If parents/guardians or students 18 years old or older approve of the use of photography, audio, or video transmission of your child/themselves, please fill this form and return it within five (5) days of receipt.

A copy of this form can be found at davidprindle.com

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question