ParentStudentHandbook2017-18 AUG.17

Photos and Videos for Instructional Use Consent Form 2017–2018 I give permission for my child to be photographed or videotaped as a part of an instructional activity under the direction of a BCS teacher, and in accordance with the Student Handbook.

Student name

Parent/Guardian

Teacher

Grade

PHOTOGRAPH and VIDEO NON–RELEASE FORM (2017–2018) Occasionally local newspapers or television stations come to Berlin Community School to report on special events that take place in the school. Sometimes they publish pictures or present videos of students participating at these events. If you do not want your child’s picture to be published in the newspaper or videos to be presented by television stations when certain events are highlighted, please return this form to your child’s homeroom teacher by Friday, September 15,2017:

I DO NOT GIVE BERLIN COMMUNITY SCHOOL PERMISSION TO USE MY CHILD’S PHOTOS IN AREA NEWSPAPERS OR VIDEO OF MY CHILD BY LOCAL TELEVISION STATIONS WHEN SCHOOL PROGRAMS OR EVENTS ARE BEING HIGHLIGHTED.

Student name

Parent/Guardian

Teacher

Grade

School Website/ Social Media Sites Parental/Guardian Consent Form 2017–2018 Pursuant to law, Berlin Community School will not release any personally identifiable information on the district website/social media sites without prior written permission from the parent/guardian of a BCS student. Personally identifiable information includes: student name and photo or image. Although the district website/social media sites is a place to acknowledge and celebrate BCS student accomplishments such as Student of the Month, academic and athletic awards, and special projects, there are also potential dangers associated with the posting of personally identifiable information on a website.

Please check one of the following choices regarding posting of personally identifiable information on the district website/social media sites.

[ ] I/We GRANT permission for this student’s photo/image ONLY to be published on the district website/social media sites.

[ ] I/We GRANT permission for this student’s photo/image and name to be published on the district website/social media sites.

[ ] I/We DO NOT GRANT permission for this student’s photo/image to be published on the district website/social media sites. Student Name: Grade:

Name of Parent/Guardian (PRINT):

Date:

Signature of Parent/Guardian:

3