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Forms found in the Parent/Student Handbook for Signatures:
Handbook Acknowledgment Form
To Whom It May Concern:
I have read the Stokes County Schools Student/Parent Handbook and understand the rules and regulations stated therein. If I have a question or concern, I am encouraged to speak with the principal, or designee, of my student’s school for clarification.
Parent Signature _____________________________________Date__________
Student Signature ____________________________________Date__________
********************************************************************************************************
Media Release Form
I authorize and grant the officials of Stokes County Schools the unlimited right to use and/or reproduce photographs, likenesses, the voice or written articles of/including my student in any legal manner for internal or external promotional/ informational activities. I, also, agree to allow my child to be interviewed and/or photographed by representatives of external news media in relation to any and all coverage of the Stokes County Schools in which he is involved. I further understand that by signing this release, I waive any and all present or future compensation rights to the use of the above stated materials.
Parent Signature _____________________________________Date__________
(Reference Handbook page 19, FERPA)
*************************************************************************************
Parent Refusal Form for Student Use of the Internet
Unless you request otherwise, your student will be allowed to use the Internet at school for instructional purposes outlined in the Technology Acceptable Use Policy, 3225/7320. If you do not wish for your child to use the Internet, sign this form and return to your student’s school no later than September 1 or within ten days of enrollment.
Please do not allow my child to use the Internet at school.
Student’s Name ____________________________________________
Teacher __________________________________________________
Parent’s Name (print): _______________________________________
Parent Signature ____________________________________________
********************************************************************************
Parent Refusal Form To Allow Publishing Student Photograph and/or Work
Unless you request otherwise, your student’s photograph or work may be published to the school district or school website as outlined in the Web Page Development Policy, 3227/7322. If you do not wish for your child’s photograph or work to be published on the websites, sign this form and return to your student’s school no later than September 1 or within ten days of enrollment.
Please do not publish my child’s photograph or work to Stokes County district website or school website.
Student’s Name _____________________________________________
Teacher ___________________________________________________
Parent’s Name (print): ________________________________________
Parent Signature ____________________________________________
(Reference Handbook page 36 Technology: Acceptable Use)
To Whom It May Concern:
I have read the Stokes County Schools Student/Parent Handbook and understand the rules and regulations stated therein. If I have a question or concern, I am encouraged to speak with the principal, or designee, of my student’s school for clarification.
Parent Signature _____________________________________Date__________
Student Signature ____________________________________Date__________
********************************************************************************************************
Media Release Form
I authorize and grant the officials of Stokes County Schools the unlimited right to use and/or reproduce photographs, likenesses, the voice or written articles of/including my student in any legal manner for internal or external promotional/ informational activities. I, also, agree to allow my child to be interviewed and/or photographed by representatives of external news media in relation to any and all coverage of the Stokes County Schools in which he is involved. I further understand that by signing this release, I waive any and all present or future compensation rights to the use of the above stated materials.
Parent Signature _____________________________________Date__________
(Reference Handbook page 19, FERPA)
*************************************************************************************
Parent Refusal Form for Student Use of the Internet
Unless you request otherwise, your student will be allowed to use the Internet at school for instructional purposes outlined in the Technology Acceptable Use Policy, 3225/7320. If you do not wish for your child to use the Internet, sign this form and return to your student’s school no later than September 1 or within ten days of enrollment.
Please do not allow my child to use the Internet at school.
Student’s Name ____________________________________________
Teacher __________________________________________________
Parent’s Name (print): _______________________________________
Parent Signature ____________________________________________
********************************************************************************
Parent Refusal Form To Allow Publishing Student Photograph and/or Work
Unless you request otherwise, your student’s photograph or work may be published to the school district or school website as outlined in the Web Page Development Policy, 3227/7322. If you do not wish for your child’s photograph or work to be published on the websites, sign this form and return to your student’s school no later than September 1 or within ten days of enrollment.
Please do not publish my child’s photograph or work to Stokes County district website or school website.
Student’s Name _____________________________________________
Teacher ___________________________________________________
Parent’s Name (print): ________________________________________
Parent Signature ____________________________________________
(Reference Handbook page 36 Technology: Acceptable Use)
Printable Version
Stokes County School System - Department of Technology
