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REG STRATION—WAYOATA ELEMENTARY SCHOOL - Retsd.mb.ca

REG STRATION—WAYOATA ELEMENTARY SCHOOL - Retsd.mb.ca

REG STRATION—WAYOATA ELEMENTARY SCHOOL - Retsd.mb.ca

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KDDB-E1Please check the appropriate box and sign below:I give permission for my child to be:Interviewed for publi<strong>ca</strong>tion by:School and divisional staff or students (fundraising,newsletters, websites) Yes 0 No 0Media (newspaper, radio, TV) Yes 0 No 0Photographed or to appear on video for publi<strong>ca</strong>tion by:School and divisional staff or students (fundraising,newsletters, websites) Yes 0 No 0Media (newspaper, radio, TV) Yes 0 No 0River East Transcona School Division’s Facebook pageand/or Twitter site Yes 0 No. 0Copyright:I give permission for my child’s work to be published by themedia or the division. Yes 0 No 0Please note:Parents who indi<strong>ca</strong>te “no” on any of the permission items identified in the exhibit need todiscuss this decision with their son/daughter, and indi<strong>ca</strong>te to the child what actions must betaken in these situations.Student NameParent Name Parent Signature or Student DateSignature if 18 years of age orolderSchool Name Homeroom Teacher/Advisor GradeThis form will be appli<strong>ca</strong>ble until the student transfers to another school or parentsindi<strong>ca</strong>te a change in the permissions.Effective Date: June 1, 2004 PolicyAmended Date:June 17, 2008;Dece<strong>mb</strong>er 16, 2008;March 15, 2011; January 17,RegulationBoard Motion(s):2012373/04; 221/08; 392/08; 70/11;9/12:::b1tLegal/Cross Reference:XXXExhibit KDDB-E1 —Media Coverage, Copyright Permission FormPage 2 of 2

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