Media+Release+Form


 * __Please print one out, sign it and return to either Mr. Glover or me so tha we know it is okay with you and your parents for us to post video and pictures of you on the wkik.__**

December 2009

Dear Chief Sealth Cross Country Runners and Families:

First of all, I would like to introduce myself. My name is Daniel Perrine and I am a junior enrolled in the full IB Diploma program at Chief Sealth High School. I run cross country and track for Sealth and am the cross country team captain. In my ITGS class (Information Technology in a Global Society), our project of the year, which is a 5 month long project and will be graded by IB officials, is to create an IT solution for a client. I have chosen my solution to be a wiki for the Chief Sealth Cross Country team. My client is the head coach for the cross country team, Jason Glover who is also a science teacher at Chief Sealth.

This letter is to provide you notice that Chief Sealth Cross Country runners may have in a wiki space that will be connected to the Chief Sealth Home Page. Please indicate below if you have any objection to your student having photographs and/or videos of them on the wiki and return this form to Mr. Glover or I. If you do not return this form, it will be presumed that you have no objection, and photographs and/or videos will be included on the wiki of your child.

Please note that marking “no” on this form will not prevent news media from photographing and/or interviewing students at public events, such as sporting events, or prevent them from being photographed or interviewed off campus. Additionally, marking “no” on this form will not prohibit students from being interviewed or photographed by “Southwester,” the Chief Sealth High School student newspaper.

Please feel free to contact Mr. Glover or I with any questions or concerns and we will try our best to help you.

Sincerely,

Daniel Perrine Student and Cross Country Team Captain, Chief Sealth High School Email: dkfpbaseball@hotmail.com

Jason Glover Teacher and Cross Country Team Head Coach, Chief Sealth High School Email: jaglover@seattleschools.org

Greg Adams Cross Country Team Assistant Coach Email: gregadams@dwt.com

 YES, news media can photograph or interview my student  NO, news media cannot photograph or interview my student

PRINT Child’s full name

Student’s Signature

PRINT Parent/Guardian’s full name

Parent's Signature