Internet Permission Form

Student Photos/Work on My Classroom Web Site

For your child's protection and privacy, I'm asking your permission to use your child's picture and classroom projects within my classroom website only. This website is housed at Dakota State University. It is a reliable, secure web space for local K-12 school districts.

The pictures used on my website will include students when they are involved in projects, when they are in groups (classrooms, assemblies, sports, clubs), or when they receive special recognition.

Additionally, the web site will not include whole names, but will use student's first names only or a number for their protection. This permission will remain in effect until the end of the school year.

If you have any questions, please contact me. Thanks!

Mrs. Rook

Please check all that apply, sign, and return to me.

____ I give my permission to use my child's picture on the classroom website with his/her first name.

____ I give my permission to use my child's selected school materials (art work, written paper, class projects, computer projects) on the classroom website.

OR

____ Do Not use my child's picture on the classroom website.

____ Do Not use my child's schoolwork on the classroom website.

____ Do Not include my child's first name on the classroom website.

Name of Student _______________________________________________

_____________________________________________________________

Signature of parent or guardian

_______________________

Date