Edith Bowen Lab School Parental Permission Form to Publish on the
World Wide Web (Internet)

Students in some classes at EBLS will be publishing individual web pages on the Internet. The items listed below may be included on the individual web page. Please circle YES or NO for each item. If you circle NO, that item will not be included on your student's individual web page.

Students may use either an alias or their real first name on their web page. Please indicate the name the student should use, even if it is their own name. We will not use students' last names on their web pages.

Please note that not all classes will be doing individual student web pages; however, each teacher might create a class web page containing a class group picture.

Items for Publishing

Name to use on student's individual web page:____________________________________

• YES NO Color picture of your child
• YES NO Brief biographical sketch written by your child (parent will review and approve before the sketch is published)
• YES NO Creative writing done by your child
• YES NO Art work done by your child
• YES NO Other items deemed appropriate by your child's teacher
• YES NO Class group picture for use on the class web page (This group picture is separate from the regular school class pictures, and will be taken with a digital camera.)

As the parent or guardian of _____________________________________, I give permission for my child to publish an individual web page on the World Wide Web (Internet). I understand that the items above may be included in my child's publishing, unless I circle NO.

Date:________________________

Parent or Guardian's Name: ______________________________________________

Parent or Guardian's Signature:____________________________________________

Teacher's Name:_____________________________________