6141.322 Form 1 6141.322 Form 1NEW HARTFORD PUBLIC SCHOOLS
New Hartford, Connecticut
Permission to Publish Student Work on District Web Pages
Dear Parent/Guardian,
As part of your child s educational program, (s)he will have the opportunity to publish documents and projects on the Internet through our school web pages. Such projects may include stories, poems, and research projects. We think this is an exciting opportunity for our students. Such work will only be published with your written permission. It is district policy that full names and identifying information will never be published.
Date __________________ Date Posted on Web Site _______________
Description of work that we wish to publish on the school web pages
We wish to publish this work on the following web site: ________________________________
Student ___________________________ Teacher __________________________
School ____________________________________ Phone # __________________
Please check one:
[ ] I give my permission to publish this item on the web page named above.
[ ] I do not give my permission to publish this item on the web page.
Parent Name ___________________________________________________________________
Parent Signature ________________________________________________________________
Date _________________________________________________________________________
Please complete and sign this form return to your child s school.