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Student
Permission to Publish on the Internet
I do hereby give
Community Consolidated School District 146 the right to use my
child's:
Photograph (copy of photo to
be used attached)
Project
for publication
on the District 146 web site. This material will be used for
activities related to the following project: _________________________
If permission is
given for a photograph, I understand that this photograph will
be used as part of this educational project only and the document
in which it is published will contain a notice prohibting copying
of the photograph.
I also understand
that this permission is valid as long as the original project
named above remains published on the web and that this permission
is only valid for this specific project.
Printed Name of
Student: ________________________________________
Name of Teacher:_______________________________________________
Parent/Guardian signature: ______________________________________
Address: _____________________________________________________
Phone: _______________________________________________________
Date: ________________________________________________________
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