http://www.beitrayim.org/school/library/administration/Photograph_Permission_Form_09_10

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Beit Rayim Hebrew School PHOTOGRAPH PERMISSION FORM FOR 2009-2010

Photograph and Videotape Permission Beit Rayim Synagogue and School may take photographs or videotapes for use in promotional materials. Please indicate if you agree to this for you and/or your child(ren) by checking the box below.

I give permission for photographs or videotape of me and/or my child(ren) to be used by Beit Rayim Synagogue and School for promotional purposes.

Family Name (please print): _____________________________________________ Student’s Name: ___________________________________________ Grade: ____ Student’s Name: ___________________________________________ Grade: ____ Student’s Name: ___________________________________________ Grade: ____ Student’s Name: ___________________________________________ Grade: ____ Signature of Parent/Guardian: _______________________ Date: _____________

School and Synagogue office: 209- 1118 Centre Street, Thornhill, ON L4J 7R9 School tel. #: 905-889-0276 x. 32 E-Mail: school@beitrayim.org


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