ITV PARTICIPATION WAIVER

I understand that is the Distance Learning Classroom at Samnorwood Independent School District my voice, physical presence, and participation in activities will be transmitted to distance learning sites and may be taped for future use in an educational setting.  I hereby agree that transmission and taping of my voice, presence, and participation in these events will not be a violation of my personal rights and hereby release any claims for use of such.

Signature: _____________________________________________ Date:_________________________ 

Authorized faculty designee for duration of student enrollment will retain this form on file.