Distribute to parent/guardian at the time he/she/they register(s) a child for school and/or annually at the beginning of the school year.  Return to the Building Principal to be kept in the student’s temporary record.

Student                             School Year      

Pictures of Unnamed Students

Students may occasionally appear in photographs and video recordings taken by school staff members, other students, or other individuals authorized by the Building Principal. The school may use these pictures, without identifying the student, in various publications, including the school yearbook, school newspaper, and school website. No consent or notice is needed or will be given before the school uses pictures of unnamed students taken while they are at school or a school-related activity.

Pictures of Named Students

Sometimes the school may want to identify a student in a school picture.  For example, school officials want to acknowledge those students who participate in a school activity or who deserve special recognition.

In order for the school to publish a picture with a student identified by name, one of the student’s parents or guardians must sign the consent below. Please complete and sign this form to allow the school to publish and otherwise use photographs and video recordings, with your child identified, while your child is enrolled in this school.

I grant consent to the School District to identify the above-named student, by full name and/or the school the student attends, in any school sponsored material, publication, video recording, or website.  This consent is valid for the entire time the above-named student is enrolled in the District.  I may revoke this consent at any time by notifying the Building Principal.

Parent/Guardian (if student is under age 18)Signature

Student (if age 18 or over) Signature                    Date

Pictures of Students Taken By Non-School Agencies

While the school limits access to school buildings by outside photographers, it has no control over news media or other entities that may publish a picture of a named or unnamed student.  School staff members will not, however, identify a student for an outside photographer.