Fayetteville City Schools

PARENT'S PERMISSION FOR THE PUBLICATION OF STUDENT'S

PHOTOGRAPH ON THE INTERNET

School:________________________________

Student's Name:______________________________

Homeroom/Teacher:________________________________

I understand that the school wishes to publish photographs of students on an Internet

accessible world wide web server.

My child's photograph can be published on the Internet.____ (check here if yes)

I would prefer that my child's photograph not be published on the Internet.____ (check here for no)

Parent's Name (print):________________________

Parent's Signature:___________________________

Date:_______________________