Paul Revere 2021 Literary Anthology Video/Voice Recording PERMISSION/RELEASE FORM

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Each student participant involved in the video/voice recording must have their parent/guardian complete and submit a permission/release form.

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電子郵件 *

Student Name (last, first) *

I give permission for my student to participate in the Paul Revere Middle School Literary Anthology Video/Voice Recording Online Presentation. *

Yes

I understand that my son’s/daughter’s video/voice recording will be displayed on the Paul Revere Website (paulreverems.com) and distributed to parents via PRIDE/PTSA’s Weekly Email Newsletter. *

Yes

I understand that the video/voice recording may also be re-distributed in other media, including the internet and social media apps. *

Yes

I grant permission for my son/daughter to participate in the Paul Revere Literary Anthology Video/Voice Online Presentation as outlined above. *

Yes

Parent/Guardian Name *

Parent/Guardian eSignature *

Student eSignature *

提交

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請勿利用 Google 表單送出密碼。

這份表單是在 Paul Revere Charter Middle School 中建立。檢舉濫用情形

表單