HIT: release form

[Sharon <jellmore@COX.NET>]

Thanks to everyone who sent examples. You truly saved me (and quite a =
few others, I think) a lot of time.  My principle will be grateful!   =
Several people requested I share whatever information I received.  My =
original post was rejected by the listserv due to the attachments.  I =
regret that I have had to copy the forms here.  I will email the =
attachments to anyone who showed an interest.

Sharon Ellmore
Huff Lane MicroVillage Magnet School
Roanoke, Va
jellmore@cox.net

  a.. There is almost certainly a permission form of the type you're =
looking
  for in the Teacher's Forms & Templates Virtual Field Trip.
  If you want to take a look, go to the following URL and click on Start
  Field Trip:
  http://www.field-trips.org/lounge/forms/




  a.. I saw your question re:  form on the LM_NET digest.

  Our county uses a standard form - check out
  http://www.stjohns.k12.fl.us/aup.html
  for a copy of both the internet form and the web form.

  Hope this helps!

  Anne Berkey
  Bartram Trail High School
  Media Specialist

  b.. Interestingly, I was just mailed one in the packet that came with =
my son's
  emergency card, etc. While not dealing with the in-school community =
per se,
  it might be reworded to handle that as well.

  STUDENT MEDIA RELEASE FORM
  (Student Name) and (School) then "The standard release form below =
requests
  your permission for photographs, video tape and/or quotes of your =
child to
  be used without compensation in the Littleton Public Schools Quarterly
  Reports or other school and/or district sponsored publications."  =
"Littleton
  Public Schools has permission to use photographs, video tape, and/or =
quotes
  of (name of student) in the LPS Quarterly Reports or other school =
and/or
  district sponsored publications.  Signed (parent) Date

  Ava Webster, Media Coordinator
  Runyon Elementary, Littleton CO
  awebster@lps.k12.co.us





  a..=20
  Permission to Video=20

      =20
Name of Student:=20

School:=20

Name of Parent or Guardian:=20

The Rosendale-Brandon School District has my permission to take videos =
of my child.

The Rosendale-Brandon School District has my permission to use these =
videos for evaluation, educational training, public relations, and for =
public awareness purposes.  I understand my child will not be identified =
by name.
     =20
We grant permission for our student to be video taped.

      Please, sign and return this form.

 =
------------------------------------------------------------------------
       =20
     =20
Name _________________________________ Date ________________


   =20

=20

I also _____ give _____ do not give (CHECK ONE) my permission for my =
child's first name and last initial to be published on theschool's =
Internet site along with a photo of my child in recognition of =
participating in a school activity or of receiving an award and/or with =
a copyof my child's project or school assignment which has been selected =
to be featured on the website.=20


Parent/Guardian's Signature =
_______________________________________________=20

Date ______________________=20





Stevenson Middle School
Permission to Post Student Work
=20
Date: __________________________
To the parents of: __________________________
I would like permission to post
__________ * __________________________ Created by your child
__________ * a photograph including your child
on the Stevenson  Middle School website. You will be able to view this =
work by visiting the site at http://ms.houstonisd.org/stevensonms. or    =
____________________
I also give my permission for my child to be part of a group interview =
by the Houston Chronicle newspaper..

______________________________________
Parent's Signature
______________________________________
Date
Thank you for your permission and continued support.


Carole Bobholz
Librarian/Webmaster/Technology Coordinator








=20

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