I give permission for my child, ___________________________________ to be photographed during preschool activities.  I understand that these photographs may be used for classroom displays and scrapbooks.  Photographs also may be used  by the Early Childhood Services program in promotional materials to inform the public about Early Childhood Services.

Please read and understand this form before signing.  You are under no obligation to sign this consent.  Refusal to sign will not affect services received form ATCAA Early Childhood Services.

Agreed to by the undersigned.

______________________________    _______________, 20____

Parent or legal guardian signature                      Date

Signature of ATCAA Early Childhood Services Staff Member

______________________________ on ________________, 20__.

Edited 03/09/2007 04:16:35 PM