Photo Release Form 
Dear Families,
As part of a requirement for my teacher candidacy, it is essential that I create an interactive website for parents and teachers that will also be used in my course work at Youngstown State University. I will be using the website to keep track of activities that are done in the classroom throughout the semester. I will also be taking and using images to the site to reference my work as a teacher candidate. Before I can take photographs in the classroom for my website, I will need permission for each student to have their photographs taken.
Thank you,
Miss Hess
Please check one of the boxes below
_____ By checking this box, I am not allowing my child to be photographed and used for Miss Hess’s website and school work.
Child’s First and Last Name: __________________________________________
Printed Parent/ Guardian Name: ________________________________________
Parent/ Guardian Signature: ____________________________________________
Date: _________