JW Parker Middle 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.

Parker Middle

Not Listed

2) Your child's Student ID number Required*

3) Your Child's Name Required*

4) Your Child's grade Required*

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 Best Email Required*

9) Parent/Guardian Signature Required* Signature

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

JW Parker Middle School
Forms

Forms

Parker Middle - Updated Model Release Forms

1 forms were found.

Find Us

JW Parker Middle School1500 East Virginia StreetRocky Mount, NC 27801Phone: (252) 937-9060Fax: (252) 446-5756

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