BUFFALO PUBLIC SCHOOLS SCHOOL DISTRICT RELEASE FORM: STUDENT INTERVIEWS, PHOTOGRAPHS AND VIDEOTAPES

BUFFALO PUBLIC SCHOOLS SCHOOL DISTRICT RELEASE FORM: STUDENT INTERVIEWS, PHOTOGRAPHS AND VIDEOTAPES
Please complete and return the bottom of this form to your child's teacher as soon as possible.

Thank you for your cooperation.
Principal
Please check only ONE item:
I further agree that said materials shall become the property of the Buffalo City School District, and I hereby release and discharge the Buffalo City School District and its representatives from any and all claims that may arise by reason of taking of said interviews, photographs and/or videotapes.
CHILD'S NAME
HOMEROOM TEACHER
PARENT/GUARDIAN SIGNATURE
DATE

MonthDayYear
Date
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