Plainfield Community Consolidated District 202 Student Web Publishing Permission Form

In a commitment to the vision of Plainfield Community Consolidated School District 202, we prepare learners for the future, district learners have the opportunity to publish material on the Internet through the use of the district’s web server. Your child’s photograph and/or original work has been selected for possible inclusion in _________________________ web site at this web address:

http://www.______________________________________________

In compliance with District 202 policy, we will publish this only with your written permission. Please consider the following options, then sign and return this form to your child’s teacher. Although all material on District 202 web sites are copyrighted by the district, your student will retain authorship of his/her original work. A copy of the work and/or photograph in consideration is attached. Thank you for your cooperation. Please call ________________________ at _____________________ with any questions or concerns.

Plainfield Community Consolidated School District 202 Web Publishing Standards:

§ Web documents will not identify any child's name, home phone number, address, or the names of other family members.

§ Photos, and/or student original work will not be published on the district web server without expressed written permission of the student and parent or guardian. Such requests will be handled on a case-by-case, as-needed basis.

§ All web documents housed on the District 202 server will directly relate to a district-approved curriculum and/or school-authorized activity.

(Detach Here)

I give permission for Plainfield Community Consolidated School District 202 to publish my child’s photograph or original work, as indicated, on the Internet at this web address:

http:// ________________________________________

____ Student Photograph

____ Student Original Work

____ I do not give permission for my student’s photograph or original work to be published on the Internet.

Student Name: _________________________________ (please print)	Parent or Guardian Name: _________________________________ (please print)
Student Signature (if applicable): _________________________________	Parent Signature: _________________________________
Staff Webmaster: _________________________________	Date: _________________________________