<p> Lathrop School of Dance STUDENT PHOTO RELEASE FORM</p><p>Student’s Name: ______</p><p>Parent/Guardian Name: ______</p><p>Address: ______</p><p>Phone #: ______</p><p>Email:</p><p>______Student or Parent/Guardian (if under 18) Signature</p><p>I give permission for my child's or my picture to be used in publicity and school publications. I understand that this may include Internet based advertising and the dance school website. Please return upon registering. I will provide a letter/email ([email protected]) by October 30, 2012 if I do NOT wish to give my consent.</p><p>Lathrop School of Dance STUDENT PHOTO RELEASE FORM</p><p>Student’s Name: ______</p><p>Parent/Guardian Name: ______</p><p>Address: ______</p><p>Phone #: ______</p><p>Email: </p><p>______Student or Parent/Guardian (if under 18)Signature</p><p>I give permission for my child's or my picture to be used in publicity and school publications. I understand that this may include Internet based advertising and the dance school website. Please return upon registering. I will provide a letter/email ([email protected]) by October 30, 2012 if I do NOT wish to give my consent.</p>