Picture Authorization Refusal Form 2020-2021

Picture Authorization Refusal Form 2020-2021
Throughout the year photographs, digital pictures and video cameras record special events. AAECS would like to use your child’s picture/video on the AAECS website, in the yearbook and/or on social media or press releases when appropriate. Showing our students in action best illustrates AAECS activities and helps promote our curriculum. If you agree to allow us this permission, there is no need to submit this form.

If you do NOT authorize us to use your child’s photo for these purposes, please complete this form for each child.
Student Name

First Name Last Name
Student Grade Level
Parent's Name

First Name Last Name
Email
example@example.com
AUTHORIZATION DECLINED

I do NOT give my permission for my child’s picture/video to be used. I understand this does not include in-school use or publications, such as the school yearbook.
Parent Signature

Clear
Should be Empty: