21-22 Consolidated Permission Form

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Name of Student

Grade

The Union School has my permission to photograph or videotape my child for the purpose of instruction. There are times when children may be filmed when the focus is on a teacher’s work or when the class is creating a class project.

Yes

Clear selection

The Union School has my permission to photograph or videotape my child for the purpose of publicity. Furthermore, it is understood that my child may be included in programs or news stories that are released to the media. The school will contact parents prior to its release of any photographs to the media.

Yes

Clear selection

The Union School has my permission to use photos in the school newsletter and on school website without student names.

Yes

Clear selection

The Union School has my permission to use photos on School/Teacher Twitter accounts.

Yes

Clear selection

I hereby grant permission for the school to publish documents created by my child or use certain restricted types of photographs on the Internet including the following: Student Work (including ONLY first name and last initial) and Group Photograph w/out names.

Yes

Clear selection

As the parent/legal guardian of the student signing below, I grant permission for my child to access the computers and technology services for educational and instructional purposes.

Yes

Clear selection

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