I hereby give my consent to all photographs, audiorecordings, and/or videorecordings taken of me or my minor child by Gwinnett County Public School staff or their designee. I understand that any such photographs, audiorecordings, and/or videorecordings become the property of the local school or district and may be used by the school, district, or others with their consent, for educational, instructional, or promotional purposes determined by the district in broadcast and media formats now existing or in the future created.

 Student's Name___________________________________________________ (please print)

 Parent's/Guardian's Name __________________________________________

 (please print)

 Signature ________________________________________________________

 (parent of minor child)

 Mailing Address___________________________________________________

 ___________________________________________________

 ___________________________________________________

 Telephone ________________________________________________________

 School ___________________________________________________________