Winstead Avenue 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 Last Name Required*

2) Your Child's School: Required*

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

Winstead Avenue Elementary

Not Listed

3) Student ID Number Required*

4) Your Child's First Name Required*

5) Your Child's Grade Required*

Pre-K

6) Option - 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

CONFIRM ABOVE CHOICE

7) Best Phone Number Required*

8) Parent/Guardian Name Required*

9) Best Email Required*

10) Signature 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.

Winstead Avenue Elementary School
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WAVE - 2024 UPDATED MODEL RELEASE FORM

1 forms were found.

Find Us

Winstead Avenue Elementary School991 South Winstead AvenueRocky Mount, NC 27803Phone: (252) 462-2845Fax: (252) 451-5540

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