Students who attend school in the Tyler Independent School District are occasionally asked to be a part of school and/or District publicity, publications and/or public relations activities. In order to guarantee student privacy and ensure your agreement for your student to participate, the District asks that you sign this form and return a form to the school for each of your students.

The form referenced below indicates approval for the student's name, picture, art, written work, voice, verbal statements or portraits (video or still) to appear in school publicity or District publications, videos or on the District's website. For example, pictures and articles about school activities may appear in local newspapers or district publications. These pictures and articles may or may not personally identify the student. The pictures and/or videos may be used by the district in subsequent years.

AGREEMENT
Student and Parent/Guardian release to Tyler ISD the student's
name, picture, art, written work, voice, verbal statements,
portraits (video or still) and consent to their use by TISD.

Student and Parent/Guardian understand and agree that:

Effective Date of Agreement:________________________________

Student's Name:________________________________
(Print Name)
________________________________
(Student's signature if at least 18 years old.)

Parent/Guardian:________________________________
(Print Name)
________________________________
(Signature)

Pursuant to Texas Education Code, Section 26.009(b)(2)
TISD has no control of media use of pictures/statements which are taken without permission.