New Milford High School

NEW MILFORD HIGH SCHOOL One Snyder Circle New Milford, NJ 07646 (201) 262-0172 Fax (201) 262-4445

Media Permission

______I give permission for my child to appear in any newspaper, television show (news or any type of educational program), or through the Internet (video, blog, article) originating from the New Milford School District. The appearance could include name, photo, video, and/or resemblance. I also grant permission for New Milford High School to publish educational content created by my child (blogs, pictures, videos, etc.). It is understood that New Milford High School is not responsible for inappropriate content posted by my child or another person on any social media site that may be used in school (i.e. Flickr, YouTube, Blogs, etc.).

______I do not give permission for my child to appear in any newspaper, television show, or through Internet material originating from the New Milford School District.

Student Name (please print): ______

Student Signature ______Homeroom: ______

Parent/Guardian’s Signature ______

Date: ______