Objection to Use of Photos Form

CES, Inc. may produce or participate in videotape, motion picture, audio recording, or still photography productions that may involve the use of students' names, likeness, or voices. Such productions may be used for educational or exhibition purposes by CES, Inc., and may be copied, copyrighted, edited, and distributed by CES, Inc. Medium for such productions includes, but is not limited to, printed brochures, instructional videos, and electronic advertising available to the world wide web.  You have the right to object to the use of your child's name, picture, or voice in these productions and may do so by completing the form below and returning it to Mark Khosravi, representative and owner of CES, Inc.

If the form is not returned, CES, Inc. will assume that you waive your right to object.

To: CES, Inc. - Mark Khosravi

Regarding (Student's name):                                                                               

I object to the use of the above student's name, likeness, or voice in the manner described above.

Date:                                                                           

Signed:  
                                                                                  
    Student if 18 or older

                                                                                  
   Parent or Guardian (under 18)