Old Forge School District Photo Release Form
The Old Forge School District is committed to protecting the privacy of all students and their families. This form is provided to offer our parents/guardians the right to choose not to have your child’s image or name used in print for internal school purposes such as newsletters, school and district presentations, district advertisements, district web sites, etc., or in the public news media such as newspapers, television, radio, etc.
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Email *
Student's LAST Name (Only one name per form, if you have multiple students, please fill out a form for each student) *
Student's FIRST Name (Only one name per form, if you have multiple students, please fill out a form for each student) *
Grade *
IF YOU DO NOT want your child to be photographed, videotaped/recorded, their name listed for the news media or for internal purposes, such as newsletters, school and district presentations, district advertisements, district web sites, etc. please check statement below and submit this form.  IF YOU DO want your child to be photographed, videotaped/recorded, their name listed for the news media or for internal purposes, such as newsletters, school and district presentations, district advertisements, district web sites, etc. please check statement below and submit this form. If this form is not returned, you are giving full and complete permission, without reservation or restriction, for your child to be photographed (still or motion), and/or to be recorded (audio or video) and/or their name listed in any media format by employees of the Old Forge School District, its education partner organizations and/or agents of the media. *
Name of Parent Submitting this Form *
A copy of your responses will be emailed to the address you provided.
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