JRA-JRC-E-3 Opt-Out Form for Student Image Publishing - Exhibit

File :  JRA/JRC-E-3   passed Accountability 10/2013

Opt-Out Form for Student Image Publishing

Classroom activities and school events are sometimes photographed or videotaped by the school or media groups (newspaper, television, university, district public relations, etc.) In addition, the district or school may want to post articles, video or photography on district or school websites.

This form applies to classroom activities and school events that are not open to the public. Public events such as sporting events, theatre productions, etc. are open to the public and are not covered by this form.

If you DO NOT want your child's photograph, video and/or electronic image to be published for news media or school publicity purposes, please complete this form and return it to your child's school by August 20.


[  ]  I do not wish to have my child photographed or videotaped for purposes of news coverage or school district publicity.

Signature of parent/guardian  ___________________________________________

Student's name  _____________________________________________________

School  ____________________________________________________________

Student's current grade level  _____________

Date  _________________

This form applies for the current school year.

(Issue date)



We don't do this currently

Looks good

Looks good. We could include  this in the beginning of the year paperwork.