PSA Media Opt-Out Form, 2025-2026

Please fill out the following form and submit it no later than August 12, 2025, if you do NOT want your child or children to be included in any photographs, videos, or sound recordings made during school sponsored activities, learning experiences, and/or media events. Be aware that in some cases this may prevent the student from being able to participate in some events such as band performances.

You do not have to complete this form unless you want to opt out.

A parent may withhold permission to have a student photographed, videotaped, and/or audiotaped during school-sponsored activities, learning experiences, and/or media events. 

As the parent or guardian of the student identified below, I understand that if I opt-out, my child will not be included in pictures taken by school staff, students, or anyone outside the school, including commercial photographers and the media, nor will my child’s picture be part of a school yearbook, memory book, memory video, sports team, club, or any other medium.

Note: This does not include videotaping by security cameras in school, on school buses, or photographs for ID badges.

If you do not want your child or children to be photographed, videotaped and/or audiotaped, fill in the blanks below.

Email *
Students' full name(s) and grade this year *
Parent or guardian's name *
Parent or guardian's email address *
Parent or guardian's phone number *
A copy of your responses will be emailed to the address you provided.
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