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Code No. 804.8E2 Page 1 of 2ANNUAL MEDIA CONSENT FORM FOR PHOTOGRAPHS, VIDEOS, AND/OR AUDIO FILES OF STUDENTS Western Dubuque Community School District encourages positive publicity of students through
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How to fill out annual media consent form

01
Obtain the annual media consent form from the school or organization.
02
Read through the form and make sure you understand all the information provided.
03
Fill out all the required fields on the form, including the student's name, parent/guardian contact information, and any restrictions on media use.
04
Sign and date the form to indicate your consent for the student's media participation.
05
Return the completed form to the designated school official or organization representative.

Who needs annual media consent form?

01
Students who participate in activities or events that may be photographed or filmed for media purposes.
02
Parents/guardians of students who wish to give or restrict consent for their child's media participation.
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The annual media consent form is a document that allows individuals to give or deny permission for the use of their image or likeness in media materials.
Anyone who may be photographed or recorded for media purposes, such as students, employees, or event attendees, may be required to file an annual media consent form.
To fill out the annual media consent form, individuals typically need to provide their personal information, indicate their consent or denial for media use, and sign the form.
The purpose of the annual media consent form is to protect individuals' privacy rights by allowing them to control how their image or likeness is used in media materials.
The information reported on the annual media consent form typically includes the individual's name, contact information, signature, and their consent or denial for media use.
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