Photo Use Decline

Please select the option below if you would like to OPT OUT of the Photo Use section of your contract*
- Photographs, names, or other media images, recordings or materials of my child may NOT be used by the School for brochures, videos, websites, print, or other publicity or marketing purposes. (This does not apply to the school yearbook). This form applies to the current school year only and must be re-submitted each time a new contract is submitted.
Student Name*

First

Last
Student Grade*
- Nursery
- Mixed- Age Kidergarten
- 1st Grade
- 2nd Grade
- 3rd Grade
- 4th Grade
- 5th Grade
- 6th Grade
- 7th Grade
- 8th Grade
- 9th Grade
- 10th Grade
- 11th Grade
- 12th Grade
Parent Name*

First

Last
Today's Date

MM slash DD slash YYYY

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