Florence school district one2014-2015 media information formflorence school district one classifies the following student information as media information: name; photograph;participation in officially recognized activities and sports; diploma,
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Media release form i hereby consent to and authorize the use of and reproduction by the national spiritual assembly of the bah s of the united states and its affiliated agencies and institutions (the "national spiritual assembly ') of any and all...
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Print form medina county schools educational service center early childhood education preschool media release i allow for my childs picture to be taken for media purposes related to publicity and/or daily/special events for the medina county...
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Photo / audio / video release i authorize michigan state university extension-oakland county to record my image and/or voice (or that of my minor child named below) and give michigan state university extension-oakland county and all persons or...
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Media release form by signing this release form, i authorize padt to use the following personal information: (1) my picture including photographic, motion picture, and electronic (video) images. (2) my voice including sound and video recordings....
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Note: this completed form is required in order to attend the dissemination event for 2014. after completion, please print and fax to jennifer quick, 620-768-2917. media release form print i, the undersigned, do hereby consent and agree that...
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Email form name media release form return by: monday, march 11, 2013 1. permission to reproduce presentations given at siim meetings in consideration of the opportunity to present or provide this material to the society for imaging informatics in...
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Volusia county schools news media release the undersigned hereby authorizes the school district of volusia county to permit his/her child, named below, to be interviewed, photographed, videotaped and/or sound recorded by members of the news media,...
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Girl scouts of southwest texas media release date(s): photographer/producer: assignment: location: activity: release for minors for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, i hereby consent and...
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Media release form for the use of name, photographs, videotape, and quotations i, , give my permission for the association for childrens mental health to print or publish my name, artwork, poetry, photographs, and video of me and/or to use...
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Permission for student participation in the media i, (print parent/guardian full name) give permission for my child, (print student full name), to be filmed, photographed or interviewed by the media throughout their time as a student at duke...
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Anchorage school district media release form communications department 5530 e. northern lights blvd. anchorage, ak 99504-3135 (907) 742-4153 we need student and parent permission to use a person s photograph, voice, and/or name in various media...
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Media release print form public information office matsu borough school district 501 n. gulkana palmer, ak 99645 p: (907) 7469251 f: (907) 7464076 special instructions: complete this form and return it to the pio office via fax or email...
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Media release optout formhere at st. peter\'s bythesea we often take photos of baptisms, worship services, special events, activities, sunday school, youth groups, and many aspects of our parish life together. we use these pictures to record,...
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Aurora public schools pickens kids tech/william smith kids tech media release form dear parents, photographs or video recordings of my child. i release the use of his/her name and interviews to aurora public schools and media outlets for their own...
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