Syosset CSD Photo Objection Form
Email address *
Periodically, the Syosset Central School District arranges for photographs and videos to be taken of students and school activities for use on the district website, in the school-sponsored print publications, newsletters, videotapes, or other promotional materials authorized by the School District.

I understand that if I do not submit this form to the School District, I am giving my permission to the School District to use my child's name and/or photo in the above manner.

This photo objection form shall be in effect for the 2019-2020 school year unless revoked in writing.

BY SUBMITTING THIS FORM, I INDICATE MY OBJECTION TO HAVING THE SCHOOL DISTRICT USE MY CHILD'S NAME OR IMAGE IN THE ABOVE MATTER.

Only complete this form if withholding permission
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name
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Home Address (House Number and Street) *
Your answer
Town *
Your answer
School *
Teacher *
Your answer
Grade *
Date *
MM
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DD
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YYYY
Parent Name *
Your answer
A copy of your responses will be emailed to the address you provided.
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