John Baldwin Photo Release Waiver for 2018-2019
Please complete the following:
Email address *
Student FIRST NAME: *
Your answer
Student LAST NAME: *
Your answer
Additional Students: *
Please list names of additional student or "none".
Your answer
PTA volunteers will likely take photos during our PTA-sponsored events. PTA may use digital images of students on our website, in our newsletter, or on our social media accounts (e.g. Facebook & Twitter). If you prefer to limit the use of your child's image by PTA, please indicate your selection below:
Please Note: You will receive a separate communication from SRVUSD for the Annual Update, which includes image use for official school media channels.
Grade Level of your student(s): *
I release the California State PTA, its units, councils, districts and its legal representatives from all claims and liability relating to any photographs or digital images taken during PTA events unless I've indicated my NO IMAGE USE selection above.
Parent / Guardian Signature: (Type first and last name for signature) *
Your answer
Mobile Phone Number: *
Including area code (XXX-XXX-XXXX)
Your answer
A copy of your responses will be emailed to the address you provided.
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