AUTHORIZATION TO USE WRITTEN MATERIALS/PHOTOGRAPHS/IMAGES

May 13, 2009

I
certify that I am the custodian/legal guardian of
and:

I hereby authorize the INTERNATIONAL SCHOOL OF LOUSIANA (ISL) to use, reproduce, and/or publish all written and/or audio-visual materials, including photographs, video images and recordings that may pertain to my child. I understand that this material may be used in various publications, public affairs releases, recruitment materials, or for otherrelated endeavors. This material may also appear on ISL’s Internet Web Page. This permission is granted only for the purposes stated herein. No other use of these images may be made without my expressed consent.

I DO NOT authorize the INTERNATIONAL SCHOOL OF LOUISIANA (ISL) to use, reproduce, and/or publish all written and or audio-visual materials, including photographs, video images and recordings that may pertain to my child.

Parent Signature
   Date

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