Jennifer Klein Staff Photo
Teacher Forms
Archery Consent Form (Jennifer Klein) 2/5/2014
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PE Expectations (Jennifer Klein) 8/1/2015
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Photo Permission Form (Jennifer Klein) 6/1/2011
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MILL CREEK ELEMENTARY SCHOOL

PERMISSION TO PUBLISH PHOTOS/VIDEOS

 

 

I, _________________________________, do hereby grant permission to Mill Creek Elementary School (MCES), its administrators, and staff to publish photographs and/or videos that may include images of my child(ren) on the MCES website or in local newspapers. I understand my child(ren) will not be identified by name without special permission, and then only for the purpose of recognition of a special accomplishment.

 

 

Names of child(ren) involved:                                           Teacher:

_______________________________________        __________________________

_______________________________________        __________________________

_______________________________________        __________________________

 

 

________________________________________                  _____________________

Parent Signature                                                                             Date