Please print, sign, and return. |
Internet/Photo/Video/Audio/Writing Release Form
for the classroom web sites
This release form is being requested to obtain permission to put your childs work on the classroom web pages. These sites can be accessed through the Internet of:
Mr. John McCarthy - http://epiphany.simplenet.com/mccarthy/
and
Mr. Scott Banks http://www.clarkston.k12.mi.us/bankss/
No individual pictures of students, nor will their last names, or addresses be used on the classroom site, in addition to the guidelines of Clarkston High School. The purpose of this release form refers to materials on the Internet and activities related to our World Wide Web site such as educational publications and conferences, newspapers, radio broadcasting and/or television programming.
As the parent of _________________________________________________________,
Students name
I authorize Mr. McCarthy and Mr. Banks to use group photographs, audio recordings, video recordings, writing samples, and press releases, in which my child is involved for publication purposes on the school related web site. Furthermore, I grant permission for my childs grades and average to be posted as an anonymous listing, so that I may monitor his/her progress. I will receive a password in order to view his/her grades. Finally, my child may receive an email account that is specifically for class related activities. If my child wishes to use this email account for other than class related activities (ie: personal letters and contacts), he/she must get my permission.
This release will remain in effect until I revoke it in writing to Clarkston High School and Mr. McCarthy.
_______________________________________________________________
Parents/Guardians name (please print)
Contact Number: |
(_____) __________________ | Email: |
____________________ |
Parents signature
: __________________________________ Date: _______________Please tear on the dotted line below and return the top part to Mr.
McCarthy.
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This site can be accessed through the Internet at:
Mr. John McCarthy - http://epiphany.simplenet.com/mccarthy/
and
Mr. Scott Banks http://www.clarkston.k12.mi.us/bankss/
For both, work contact at: 248-623-3600
Mr. McCarthy - jmc2ocla@moa.net Contact at school for home phone number, which can be used up until 10 pm. |
Mr. Banks - scottbanks@usa.net |