Pleasantville Public Schools Acceptable Use Policy (AUP) & Media Release Form
Review the Pleasantville Public Schools Acceptable Use Policy (AUP) and Media Release Form, then complete and submit this form.
District Student AUP
Please click the link below to review the District Student AUP:

English: https://goo.gl/aRh9DM Spanish: https://goo.gl/i1zJgr

District Media Release Form
Please click the link below to review the District Media Release Form:

English: https://goo.gl/PVVGpN Spanish: https://goo.gl/DqLLUn

Student Section
School *
Student Last Name *
Your answer
Student First Name *
Your answer
Grade Level *
Student Signature
I have read and agree to the "Pleasantville Public Schools Acceptable Use Policy" *
I have read and agree to the "Pleasantville Public Schools Media Release Form" *
Type your initials as your signature *
Your answer
Parent/Guardian Section
Parent/Guardian Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Email
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Signature
I have read and agree to the "Pleasantville Public Schools Acceptable Use Policy" *
I have read and agree to the "Pleasantville Public Schools Media Release Form" *
Type your initials as your signature *
Your answer
Submit
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