Media Release Opt Out

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Use this form if you do not wish that Masconomet Regional High School use your child’s name, photo, video or any other student data, in publishing of honor rolls, awards lists, athletic contests, graduation programs, etc. in newspapers, on the school webpage, outside media, radio and TV during the 2022-2023 school year. (Please note that we never release student addresses or phone numbers to the public under any circumstance).

Name of Adult Completing this Form *

Student First Name *

Student Last Name *

Media Release Status *

I DO NOT give Masconomet Regional High School permission to use my child’s name, photo, video or any other student data, in publishing of honor rolls, awards lists, athletic contests, graduation programs, etc. in newspapers, on the school webpage, outside media, radio and TV during the 2018-2019 school year. (Please note that we never release student addresses or phone numbers to the public under any circumstance).

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