WISE COUNTY SCHOOLS

PHOTO & VIDEOTAPING RELEASE FORM

 

Student’s Name:__________________________________

 

School:__________________________________________

 

---

---

 

I hereby grant permission for the Wise County School Board and its employee and agents to use my child’s photograph(s) or videotaping(s) for the use of creating educationally related materials in the form of videos, newspapers, magazines, or education media.  I also grant permission for photographs to be used in curricular, co-curricular and extra curricular activities (including activities such as school yearbooks, roster information, etc.).

 

YES                                          NO

 

 

I understand my child’s photograph may be used in other official school printed publications without further consideration, and I acknowledge the school’s right to the edit the photo for publication purposes

 

YES                                          NO

 

I also grant permission for my child’s image to be posted on the school’s website;  and I understand that, once posted, any computer user can download my child’s image.

 

YES                                          NO

 

Name:____________________________________________________

 

Parent’s Signature:_________________________________________

 

Student’s Signature:________________________________________

 

Date:_____________________________________________________