Nashville Elementary School

NCPS employs various media for educational & promotional purposes: photos, videos, audio recordings, & written narratives of students. These may be featured on school & district websites, social media, printed/digital materials, & shared with external organizations or the media & serve as the permission until the student changes schools. This form allows guardians to grant permission for their child's image to be used. If you don't opt-in it will be assumed an Opt-Out.

1) Your Child's School: Required*

Please select your child's school. If their school is not listed - you are in the wrong form.

Nashville Elementary

Not Listed

2) Child's Student ID Required*

Please write out your child's student ID #

3) Your Child's Name: Required*

4) Your Child's Grade: Required*

Please Select which grade your child is in:

Pre-K

5) Option 1 - OPT-IN - YES Required*

I hereby grant Nash County Public Schools permission to capture use photographs, videos, audio, and written narratives of my child during instructional school activities throughout the current school year for display, publication, or release to external organizations in print, video, and/or digital media.

OPT-IN - YES

Opt in YES

6) Best Phone Number Required*

7) Parent/Guardian Name Required*

8) Your Email/Best Email Required*

9) Signature Fields Required*

By signing below, you acknowledge that you have read and understood the terms of this consent form. This consent covers various media types, including but not limited to photographs, videos, audio recordings, and written narratives. It pertains to school-related activities during the current school year.

Signature

I understand that my typed signature is the legal equivalent of my handwritten signature on this document.

10) Electronic Consent Required*

You have read this form in full and privacy policy and give consent.

Yes, I consent.

No, I do not consent.

Nashville Elementary School
Forms

Forms

Nashville Elementary - 2024 Updated Model Release Form

1 forms were found.

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Nashville Elementary School 209 East Virginia StreetNashville, NC 27856Phone: (252) 451-2877Fax: (252) 459-1135

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