STUDENT PERMISSION FORM
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VIDEOCONFERENCING PARTICIPANT WAIVER
I understand that in a Distance Learning Classroom (videoconferencing lab) my physical presence and participation in classroom activities will be transmitted to distance learning sites and will be electronically recorded. I understand that my signature indicates my presence, participation, and electronic recording of these classes will not be a violation of my personal rights and hereby release any claims for the use of such.
_____ I give my permission to participate in videoconferencing.
_____ I would prefer NOT to participate in videoconferencing.
Student Signature:
______________________________________________________________
Date: _____________________________
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WEB SITE/INTERNET/Streaming VIDEO NOTIFICATION/PERMISSION
To effectively illustrate the educational activities of students, a video will be posted to a web site and/or distributed via email/internet. The name of students will not be posted, only their video. In order to use this video, we are requesting your permission. Please complete the following:
_____ I give my permission to distribute my video via the Internet or placed on a web site.
_____ I DO NOT want my video to be distributed via the Internet or placed on a web site.
Student Signature:
______________________________________________________________
Date: _____________________________
Parent Signature____________________________________________
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