Membership Packet 09-10

- COMPLETED PHOTO RELEASE FORM four placed in Ms Racanelli/Ms. Rubino’s mailbox in the main office or in room 411. Key Club officers will not be held liable for them.

MONTVILLE TOWNSHIP HIGH SCHOOL CODE OF CONDUCT We have read and understand the Code of Conduct of Montville High School and agree to comply. We also understand that participation in extracurricular activities is a privilege and that we are representing Montville Township High School. Montville Township High School recognizes that actions, both positive and negative, reflect directly on our school and organization. We understand that consequences may follow as a result of violations of this Code of Conduct.

I _____________________________ wish to participate in the Student Name following activity ________Key Club________ for the 20092010 school year.

I UNDERSTAND THAT I MUST PERFORM 50

HOURS OF COMMUNITY SERVICE FOR THE YEAR. _____________________________ Print Student’s Name

Date: ___________

Student

Signature:__________________________

Date: ___________

Parent/Guardian

Signature:__________________________

Please sign and return this page only and not the actual code pages.

Montville Township Public Schools Parental/Guardian Consent Form Photos and Videos for Public Release Including the Internet I am sending you this letter to inform you and to request your permission for your child’s photo/image and/or videotaping of personally identifiable information to be published on the Montville Township School District Internet site. As you are aware, there are potential dangers associated with capturing personally identifiable information since global access to the Internet or viewing of a videotape or cable program does not allow us to control who may access such information. These dangers have always existed; however, we as a school system do want to celebrate your child and his/her work. The law requires that we ask for your permission to use information about your child. Pursuant to law, we will not release any personally identifiable information without prior written consent from you as parent or guardian. Personally identifiable information may include one or more of the following: student name, photo or image, school address, e-mail address, and locations and times of Montville trips and classes and events. If you, as the parent or guardian, wish to rescind this agreement, you may do so at any time in writing by sending a letter to the classroom teacher and such rescission will take effect upon receipt of the letter. Check ONE of the following choices: 1. I/We GRANT permission for this student’s photo/image/videotaping, name and school listed below to be published on the Montville Township School District Internet site and/or other media, e.g. press release. 2. I/We DO NOT GRANT permission for photo/image/videotaping that includes this student to be published on the Montville Township School Internet site and/or other media. Photo(s)/image(s) posted on the Internet will appear on the Montville Township website at www.montville.net/highschool/keyclub ______________________________________________________________________ Student’s Name: (please print) ___________________________Student’s Grade: ___________ Student’sSchool________________________________________________________________ Print name of Parent/Guardian: (Print) ______________________________________________ Signature of Parent/Guardian _____________________________________________________ Relation to Student: _________________________ Date: ____________________________