La Vernia ISD Distance Learning/Video/Photo Consent, Waiver and Release

Dear Parents:

La Vernia ISD students are often involved in activities that require taking pictures and developing audio or video files for multimedia projects, Internet web design, video taping, yearbook photos, distance learning virtual field trips, video courses and/or interviews. Some or all of the media produced may also be used by the newspapers, broadcast on television or radio, presented during a videoconference or used in District or School Board publications.

Your signature below indicates your permission for your child to be video taped, photographed or interviewed, and to participate in distance learning virtual field trips for educational purposes. If you have any questions regarding the above please contact your child's teacher or principal.

I am the parent (guardian) of:

(Name of Child)

and I hereby give consent for my child to be photographed, video taped, interviewed, and to participate in distance learning virtual field trips. I understand that these images and recorded appearances may be used in newspapers, television and radio broadcasts, videoconferences, may be posted on school web sites, and may appear in District or School Board publications.

Signature of Parent or Legal Guardian

Address City

Home Phone Work Phone

Date