Spring Branch ISD is committed to protecting the privacy and safety of all students. There are times when teachers and administrators feel it is appropriate to recognize students and their work in a public forum. Examples of such recognition include publishing a team roster on a school's web page, exhibiting student art work on the web, and inviting local media to report on special school events. In order for your student to be included in these types of recognition, we need your permission to disclose your student's photograph, name, voice, and schoolwork. Spring Branch ISD endeavors to take every precaution to ensure that such disclosure is limited to appropriate school related events.

YES, I give permission to SBISD to:	NO, I do not give permission to SBISD to:
_____	_____	Disclose my child's name
_____	_____	Disclose my child's photograph or videotape of his/her image
_____	_____	Disclose a recording of my child's voice
_____	_____	Disclose copies of my child's school or extracurricular work (for example art, poetry, or other writings)

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Printed Name of Student Campus

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Printed Name of Parent/Guardian Grade

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Parent/Guardian Signature Date

Please sign and return this form to your child's school.