uft consent form .pdf
Original filename: uft-consent-form.pdf
Title: Microsoft Word - uft-consent-form.doc
This PDF 1.4 document has been generated by PScript5.dll Version 5.2.2 / Acrobat Distiller 8.1.0 (Windows), and has been sent on pdf-archive.com on 13/10/2014 at 17:33, from IP address 24.193.x.x.
The current document download page has been viewed 974 times.
File size: 15 KB (1 page).
Privacy: public file
Download original PDF file
uft-consent-form.pdf (PDF, 15 KB)
Share on social networks
Link to this file download page
CONSENT TO NAME, PHOTOGRAPH, FILM OR VIDEOTAPE
A STUDENT FOR NON-PROFIT USE
(e.g.: educational, public service or health awareness purposes)
Name of Student:
I, _____________________________________ , hereby consent to the participation in interviews,
(Parent or Guardian's name)
the use of quotes, and the taking of photographs, movies or video tapes of my son/daughter and his/her
school-related work by the United Federation of Teachers. I also grant to the United Federation of
Teachers the right to edit, use and reuse said products for non-profit purposes. I also hereby release the
United Federation of Teachers and its agents and employees from all claims, demands, and liabilities
whatsoever in connection with the above.
(Signature of Parent/Guardian)
(Address of Parent/Guardian)
Please return this form to your UFT chapter leader or the event organizer who gave you this form.
Otherwise, fax it to the UFT at 212-510-6431, attention: Charles Dudley.
52 Broadway, New York, NY 10004 p: 212.777.7500 www.uft.org
Officers: Michael Mulgrew President, Michael Mendel Secretary, Robert Astrowsky Assistant Secretary, Mel Aaronson Treasurer, Mona Romain Assistant Treasurer
Vice Presidents: Karen Alford, Carmen Alvarez, Richard Farkas, Catalina Fortino, Janella Hinds, Sterling Roberson
Link to this page
Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..
Use the short link to share your document on Twitter or by text message (SMS)
Copy the following HTML code to share your document on a Website or Blog