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Student Image Exclusion form

Please complete the form below. Required fields marked *

Today's Date*

Answer Required

Please do not include my student's photo in the school's yearbook.*

Answer Required

Yes

No, I have changed my mind and I will allow my student's photo to be included in the schools yearbook.

Student's Full Name*

Answer Required

School Student Attends:*

Answer Required

Parent/Guardian's Name:*

Answer Required

Confirmation Email

Confirmation Email *

Email Required