Editing previous response:

Please fix the highlighted areas below before submitting.

Photo Release 23-24

Please complete the form below. Required fields marked with an asterisk *

Photo Release 23-24

Contact Information

Student First Name*

Answer Required

Student Last Name*

Answer Required

School*

Ferris High School

Answer Required

Student JCPSNJ email*

Answer Required

Parent email*

Answer Required

Parent Phone*

Number Required

Parent Work Phone

Number Required

Please check each that applies. *

Answer Required

I hereby give my permission for the Jersey City Public Schools to release photographs, videotapes, and/or the name of my child to the media, for utilization by my child’s school, JCPS social media, and JCPS websites for the 2023- 2024 school year.

No, I do not want my child to be photographed or videotaped.

I hereby give permission for my child’s writing, artwork to be published in print publications and videotapes produced by his/her teacher, school, or the Jersey City Public School District. These publications may include newspapers, literary magazines, journals, book chapters, and videotapes featuring a variety of student work. My child’s writing and artwork may be entered into school-endorsed competitions.

No, I do not want my child’s writing, artwork to be published in print publications and videotapes produced by his/her teacher, school, or the Jersey City Public School District.

Only parent and guardians can complete this form. *

Answer Required

I certify that the information provided above is accurate and completed by the student's parent or guardian.

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required