DOE WWW PARENTAL CONSENT FORM

 

I hereby give permission for my child's photograph, artwork, poetry or other work produced in conjunction with a school project, class or extracurricular activity, to be put on the Department of Education's World Wide Web (WWW) site, in accordance with the policies set forth in the DOE's Internet Acceptable Use Policy.

 

I understand that the information to be posted does not include information from my child's academic, guidance, permanent or cumulative record (i.e. grades or attendance records). I also understand that the information to be posted does not include other personal identifiable information such as my child's address, phone number, or social security number.

 

Name of student:

 

_____________________________________________

Parent's signature:

 

_____________________________________________

Date:

 

______________________________________________

 

This document is to be sent to and retained by the school.