Student Back Opt-In (only use if previously opted out)
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*
Required
Name
*
required
First Name
Last Name
Email Address
Phone Number
Yes: You can use my student's name and likeness in District media
Yes means you agree to allow PCSCSD to use the name and likeness in non-commercial media.
Yes
Yearbook with photo only
Yes means you agree to allow PCSCSD to use the name and likeness in non-commercial media.
Submit