MPS Student Photo/Video Release Form
 
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  Dear Parent/Guardian:

Please read over the following and make a decision as to whether you grant permission for Millville Public Schools to post, print, or release your child’s image/photograph or student work.
   
  Examples of how your child’s image/photograph or student work may be used:


• Appear in a printed publication such as a class picture, newspaper, magazine, or yearbook

• Submitted as samples to programs (examples: sports programs or play programs) or as contest entries to sponsors

• Utilized as a demonstration or sample in educational workshops, classrooms, and/or conferences

• Appear on video/electronic image made during a student presentation of a project, or in broadcasts or video/electronic image, which may or may not be used by a local television station or school/county project

• Other educational activity as Millville Public Schools deems necessary


Your child’s name or address WILL NOT be included with your child’s image/photograph or student work when published on the Web.
   

 
  RELEASE AUTHORIZATION
   
  Your permission grants Millville Public Schools approval to publicize without prior notification and remains in effect until Millville Public Schools receives written notice that you would like this revoked.
   
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