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H. S. Parent Publicity Consent Form P. 17/18

Wilson Public Schools

Parent Publicity/Achievement Recognition Consent Form

Please fill out one form for each child.

This consent form is valid for the 2020-2021 school term.

Wilson Public Schools is requesting permission to use your child's name, photograph, or class work for purpose of identification or recognition in Yearbooks, Awards, Recognition Assemblies, Web Pages, News Releases, etc. To make this procedure more accurate, we require an "all or nothing" permission statement. This means that without permission for one type of publicity or recognition will be given (this includes yearbooks and class photographs.)

Check one of the options below:*

Answer Required

I agree to public recognition and identification of my child in a positive manner.

I do not want my child's photograph or name be used in any manner. (Note: If you check this option, your child's picture cannot be included in the yearbook.)

Child's Name and Grade*

Answer Required

Parent/Guardian Name and Date*

Answer Required

Clicking on the submit button is the same as signing this form.

Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required