DC4STEM Fair & Competition: Media Release Form for Parents/Guardians


The DC4STEM Fair and Competition are operated by DC4STEM, a nonprofit dedicated to equitable STEM education in DC in collaboration with the DC Office of the State Superintendent of Education (OSSE).

Visit dc4stem.org for more information about the fair.

For questions about this form, please contact your school's STEM fair lead staff member or leadership@dc4stem.org.


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PHOTO RELEASE AUTHORIZATION: English
I understand that participants of the DC4STEM Fair may be photographed, video-recorded, or taped for education or news reports, videos, web/internet reports, and/or other promotional materials for the DC4STEM or DC4STEM partners and donors. I further give permission for my child’s image to be included in such promotional materials.
PHOTO RELEASE AUTHORIZATION: Amharic
የ DC4STEM Fair ተሳታፊዎች ለDC4STEM ወይም DC4STEM Fair አጋሮች እና ለጋሾች ለትምህርት ወይም ለዜና ዘገባዎች፣ ቪዲዮዎች፣ ድህረገጽ/ኢንተርኔት ዘገባዎች፣ እና/ወይም ሌሎች የማስታወቂያ ፎቶግራፍ ሊነሱ፣ በቪዲዮ ሊቀረጹ፣ በቴፕ ሊቀዱ እንደሚችሉ እኔ እረዳለሁ። እኔ በተጨማሪ የልጄ ምስል በእንደዚያ አይነት የማስታወቂያ ነገሮች ላይ እንዲካተቱ ፍቃድ እሰጣለሁ።
PHOTO RELEASE AUTHORIZATION: Chinese
本人了解，DC4STEM Fair 的参与者可能会被拍照、录像或录音，用于教育或新闻报道、视频、网络/互联网报道，以及/或针对 DC4STEM 或 DC4STEM Fair 合作伙伴和捐赠者的其他宣传材料。本人亦允许将本人孩子的图像纳入此类宣传材料内。
PHOTO RELEASE AUTHORIZATION: Español
Comprendo que los participantes de la feria DC4STEM Fair podrán ser fotografiados o grabados (en audio o video) para propósitos educativos o reportajes, videos, reportajes en la web/internet u otros materiales promocionales para la DC4STEM o los socios y donantes de la feria DC4STEM Fair. Autorizo a que la imagen de mi hijo(a) se incluya en dichos materiales promocionales.
PHOTO RELEASE AUTHORIZATION: Français
Je comprends que les participants au Salon DC4STEM peuvent être photographiés, enregistrés sur support vidéo ou filmés pour des reportages éducatifs ou d'actualité, des vidéos, des rapports Web/Internet et/ou d'autres supports promotionnels pour les partenaires et donateurs du Réseau DC4STEM ou du Salon DC4STEM. Je donne en outre la permission que l'image de mon enfant soit incluse dans ces supports promotionnels.
Student name *
Amharic: የተማሪውን ሙሉ ስም
Chinese: 学生全名
Español: Nombre completo del estudiante
Français: Le nom complet de l'élève
School name *
Amharic: የትምህርት ቤት ስም
Chinese: 学校名称
Español: El nombre de la escuela
Français: Le nom de l'école
Name of Parent/Guardian completing this form
 *
Amharic: የወላጅ/ሞግዚት ሙሉ ስም
Chinese: 家长/监护人全名
Español: Nombre completo del padre/made/tutor
Français: Le nom complet du parent/tuteur
Best phone number for parent/guardian
 *
Amharic: ተጠሪ ስልክ
Chinese: 电话号码
Español: Teléfono del contacto
Français: Numéro de téléphone
Email for parent/guardian
 *
Date
 *
Amharic: የዛሬው ቀን
Chinese: 日期
Español: La fecha
Français: La date d'aujourd'hui
MM
/
DD
/
YYYY
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