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Bilingual French Pre-school
1656 Third Ave New York, NY 10128
Tel/Fax: (212) 410-0180
www.arcencielny.com

Photo Release Form
Permission to Use Photograph

 I grant Arc En Ciel Preschool, the right to take photographs of
my child.

I agree that Arc En Ciel Preschool may use such photographs of my
child for any lawful purpose, including for example such purposes
as publicity, illustration, advertising, and Website content.

 I do not grant Arc En Ciel Preschool, the right to take
photographs of my child.

I have read and understand the above:
Signature ________________________________________________
Printed name of Parent/Guardian______________________________
Name of child: ____________________________________________
Date ____________________________________________________