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Student Handbook 2016-2017

GUIDANCE CHARTER SCHOOL 37 MEDIA RELEASE Form CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE A STUDENT FOR NON-PROFIT USE (e.g. educational, public service, health awareness purposes or as participant in the Media Pathway course assignments or classwork.) Student Name: I hereby consent to my child’s participation in interviews, the use of quotes, and as the subject of photographs, movies or video tapes of the Student named above by______________________________ . Parent Name (Print) I also grant to Guidance Charter School and their employees and/or representatives; the right to edit, use, and reuse said products for non-profit purposes including use in print, on the internet, and all other forms of media. I also hereby release the California Department of Education and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above. Date: ______________________________ Signature of Parent/Guardian (if Student is under 18) Address of Parent/Guardian


Student Handbook 2016-2017
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