In an effort to keep the academy community up-to-date on school events, New Bedford Academy will, on occasion, invite local media representatives into our schools to photograph special programs and events. Media representatives register at the main office upon their arrival and are always escorted to a designated area from which they can take photos or video publication. We do not allow media representatives to interview students on school property unless they are accompanied by academy personnel.

Academy personnel will also take photos of classroom activities and/or individual students from time to time for either release to the local media or use in academy media or brochures. Identification of students is always limited to name, school, and grade.

Permission to photograph a student either individually or as part of a group is assumed, unless you indicated otherwise below. If you prefer that your student NOT be shown in any photo or video for media use or academy publication, please complete the form below and send it to: Principal, New Bedford Academy, 6315 Secor Road, Lambertville, MI 48144. This information will be kept on file through the end of the current school year only. If you should have any questions regarding the Academy Community Relations plan, please call us at 734/854-5437.

Please DO NOT include pictures of my child(ren) in any media release or academy publication during the 2002-2003 school year. Please Print.

Student’s NAME: _________________________________________ Grade: ____________

Student’s NAME: _________________________________________ Grade: ____________

Student’s NAME: _________________________________________ Grade: ____________

Student’s NAME: _________________________________________ Grade: ____________