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STUDENT IMAGE EXCLUSION FORM
Plainfield Community School Corporation will occasionally photograph or
videotape students in the school environment, for the purpose of
communications and public relations.
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How to fill out student image exclusion form

How to fill out student image exclusion form
01
Obtain a student image exclusion form from the school administration.
02
Read the form carefully to understand its purpose and requirements.
03
Fill in your personal information, including your name, contact details, and any other requested information.
04
Provide specific details about the student for whom the image exclusion is being requested, such as their name, grade level, and class.
05
Clearly indicate the reasons for wanting the student's image to be excluded from any school-related activities or publications.
06
Review the completed form to ensure all information is accurate and complete.
07
Signature and date the form to certify that the information provided is true and accurate.
08
Submit the filled-out form to the designated authority or school administration office.
09
Keep a copy of the completed form for your records.
10
Await confirmation or acknowledgement from the school regarding the acceptance or processing of the student image exclusion request.
Who needs student image exclusion form?
01
Parents or legal guardians who have concerns or objections about their child's image being used in school-related activities or publications.
02
Students who are of legal age and wish to exercise their right to exclude their own images.
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