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Photo Release Form

I give permission for photos and/or images of my child, captured through video, photo, and digital camera, to be used in connection with Louisiana Department of Education and Tangipahoa Parish School System activities. I understand that all photos and videos will become the property of the Tangipahoa Parish School System, and will not be used for commercial gain.

These recordings will be used in educational and promotional videos, presentations, CD-ROM's, newsletters, websites, etc. I further agree that any additional reproductions may be published and distributed to the general public.

I understand and agree to the above stated conditions.

Student's Printed Name: ___________________________________________________________

Parent / Guardian's Signature: ______________________________________________________

Date:_____________________________________________________________________________

School Name: _____________________________________________________________________

Teacher's Name:___________________________________________________________________


Click here to download the Microsoft Word file with the Photo Release Form.

Click here to find the Photo Release form pdf to print.

This page was last updated on Friday, August 12, 2005.