Nash Central High 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.

Not Listed

2) Your Child's Name: Required*

Please write your child's name

3) Your Child's Grade: Required*

Please Select which grade your child is in:

4) 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. FOR YEARBOOK AND NEW SOCIAL MEDIA FOR THE SCHOOL

OPT-IN - YES

OPT-IN YES

5) Best Phone Number : Required*

6) Parent/Guardian Name: Required*

7) Your Email/Best Email: Required*

Enter Email Address

8) Signature Field: 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.

Nash Central High School
Forms

Forms

Model Release Form - NCHS 2024

1 forms were found.

Find Us

Nash Central High School4279 Nash Central High RoadRocky Mount, NC 27804Phone: (252) 451-2860Fax: (252) 451-1279

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