ELK GROVE UNIFIED SCHOOL DISTRICT
9510 Elk Grove-Florin Road Elk Grove, CA 95624
PHOTO ON BLOG RELEASE FORM
I, of my child, , do hereby consent for the photograph , to be posted on the classroom
blog of ____________________________located on the Internet at: ______________________________. This consent will remain in effect for one year from this date and can be revoked by me at any time prior to the photo’s use.
Signature of Parent or Legal Guardian COMMENTS:
Date
Received by (signature)
Date