Beaufort Jasper EOC Head Start

Photo Consent Form

We take photographs (and may take videos) of your child during the school year to attach to your child’s school record to use for identification purposes and at times to display inside our school building.

Occasionally, we may use these photographs or video images for recruitment activates, BJEOC Head Start website, or, to provide information on Head Start Initiatives. Your child’s name will not be used in any photo caption or text.
Please review and select an option below:

Child's Last Name:*

Child's Middle Name:

Child's First Name:*

Parent Name:*

Date of Birth:*

What program option are you registering for?*

Center:*

I give permission to BJEOC Head Start to take photos of my child for school records for identification purposes and to ensure safety.

I give permission to BJEOC Head Start to take photos of my child during classroom activities, field trips, and events held at the center for display in the classroom and at times display in the school building.

I give permission to BJEOC Head Start to use these photographs or video images for recruitment activities, BJEOC Head Start website, and to provide information on BJEOC Head Start Initiatives.

I do not give BJEOC Head Start permission to use these photographs or video images for recruitment activities, BJEOC Head Start website or to provide information on BJEOC Head Start Initiatives.

I confirm that I have read and understand this form. *

By checking this option, I choose to manually sign this form.

By checking this option, I prefer to have the system electronically sign this form for me.

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Parent Signature

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