ShareSample "Permission to Publish" Letter
I authorize ___________________________ School to publish the following information on the World Wide Web (Check appropriate line.)
___Publish my Name as shown: ______________________________
___Do not publish my name. (Student's LAST NAMES are not
published.)
___Publish my Photo.
___Do not publish my Photo.
___Publish Student Work
___Do not publish Student Work
Other: ________________________________________________________________
______________________________________________________________________
______________________________________________________________________
understand that this information will be available to anyone on the World Wide Web.
Signature of Parent or Legal Guardian:______________________________________
Date:____________
Please note that this does not replace the District’s Acceptable Use Policy or imply permission to use Internet services. Publication of this data is not required to use Internet services. Schools should keep this completed form on file at the school.