IJNDC-E(1)

Name of Student: _______________________________________ Grade: __________

School: ________________________________________________________________

Name of Parent/Guardian: _________________________________________________

I understand and agree that my child's name may appear on the Regional School Unit #1 website. I further understand and agree that photographs of my child and/or examples of my child's work may be used on the website.

___________________________________________________ ________________

Parent/Guardian Signature Date

Please return the form to the school office within the first week of school. This agreement will remain in effect for the entire school year unless it is rescinded in writing. If the form is not returned, information about your child will not be published on the Regional School Unit #1 website. If you have any questions, please contact the Superintendent of Schools or the Building Principal.

Adopted: August 17, 2009

Revised: August 11, 2010