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THE NEW YORK CITY JOEL I. KLEIN Chancetror DEPARTMENT OF EDUCATION qffice 0/ Communications eZ Media 1 tations 52 Chambers Street New York NY 10007 Tel. 212-374-5141 Fax 212-374-5584 CONSENT TO PHOTOGRAPH FILM OR VIDEOTAPE A STUDENT FOR NON -PROFIT USE e.g. educational public service or health awareness purposes Name of Student School Class I hereby consent to the participation Parent or Guardian s Name in interviews the use of quotes and the taking of photographs movies or video tapes of my...
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