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WEB SITE GUIDELINES (Cont.)
PHOTOGRAPHIC PUBLICATION PERMISSION
I understand that my child's photograph (individual or as part of a group) may occasionally be published on the Internet and be accessible on the World Wide Web server. I give my permission to publish my child's photograph with identification as specified below.
Please circle "yes" or "no" for each of the following:
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1. My child's photograph (individual or as part of a group) may be published on the internet.
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yes
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no
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2. My child's first name may be used to identify his/her photograph.
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yes
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no
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3. My child's class (teacher/grade level/school) may be used to identify his/her photograph.
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yes
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no
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Please list any other restrictions you wish to place on the identification of your child's published photograph.
Parent or Guardian name (print) ______________________________________
Parent or Guardian signature ______________________________ Date ___________________
Student name (print) ______________________________________
Student signature ________________________________________ Date ___________________
Sponsoring teacher name (print) ______________________________________
Sponsoring teacher signature ____________________________________ Date _______________
THIS DOCUMENT SHALL REMAIN VALID UNTIL REVOKED IN WRITING BY USER OR PARENT/GUARDIAN
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