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STUDENT MEDIA DISCLAIMER To be completed by parent/guardian(s) DATE: GRADE: Shore wood School District 1701 E. Capitol Drive Shore wood, WI 53211 (414) 963 – 6901 Fax: (414) 963 6904 STUDENT Names:
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How to fill out media disclaimer form 2015-16:

Start by entering your personal information:

01
Write your full name in the designated space.
02
Enter your contact information, including phone number and email address.
03
Provide your mailing address.

Indicate the purpose of the media disclaimer form:

01
Specify whether the form is for media release, consent, or another purpose.
02
Clearly state the date range for which the form is applicable (2015-16 in this case).

Consent for media usage:

01
Read the statements carefully, confirming that you understand and agree to them.
02
If you have any concerns or conditions, make sure to express them clearly.
03
Sign and date the form to provide your consent.

Parental consent (if applicable):

01
If the media disclaimer form is for a minor, a parent or legal guardian must also sign.
02
Ensure that the parent or guardian provides their full name and contact information.
03
Verify that the parent or guardian understands and agrees to the terms.

Who needs media disclaimer form 2015-16:

Individuals participating in media activities:

01
This form is typically required for individuals who will be involved in media events, such as interviews, photo shoots, or public appearances.
02
It ensures that your image and personal information can be used by the media for the specified period.

Organizations and institutions:

01
Companies, educational institutions, or any organization that engages in media-related activities may require individuals to complete the media disclaimer form.
02
This helps them obtain the necessary permission to use media content in various promotional materials or publications.

Minors and their parents or guardians:

01
For individuals under the age of 18, a parent or legal guardian must sign the form on their behalf.
02
This ensures that the minor's rights and privacy are protected, and that the parent or guardian consents to the media usage.
Note: The above information is a general guide on how to fill out and who needs the media disclaimer form for the specified period (2015-16). It's always advisable to refer to the specific instructions provided with the form or consult with the organization requiring the form to ensure accuracy and compliance.
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Media disclaimer form 16 is a document that individuals or entities use to disclose any disclaimers related to media content.
Any individual or entity that is responsible for creating or distributing media content with disclaimers is required to file media disclaimer form 16.
To fill out media disclaimer form 16, one must provide information about the media content, the disclaimers being used, and any other relevant details.
The purpose of media disclaimer form 16 is to ensure transparency and disclosure of any disclaimers associated with media content.
Information such as the type of media content, disclaimers used, date of creation or distribution, and contact details may need to be reported on media disclaimer form 16.
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