In order to publish or use any student material including original work, photographs, videos, audio recordings etc. on our website or in online courses we need a signed request for publication of student work. We cannot publish student work under a pseudonym. The form below must be completed by you, the parent or guardian, and returned to the teacher. Please mail, fax, or scan and e-mail the request below. All student work will be published under his/her first name only with no personal information included. If your child chooses to include his/her full name in the credits that information will be available for viewers.

Letter Requesting Publication of Student Work

I, _____________________________________ request that the digital story created
(name of parent or legal guardian)

by ____________________________________ in the course ___________________
(name of student)                                                        (name of course)

be made available for student viewing. In addition, I would like my child’s digital story

to be included in the online gallery. I understand that the digital story may be saved to

YouTube, Vimeo, or Dailymotion and that it may be possible for persons not associated

with the school to view my child’s work.

________________________________________     ___________________________
Signature of parent or guardian                                Date

________________________________________
Printed or typed name

_____________________________________________________________________
Address

________________________________________     ___________________________
Parent or guardian email address                              Phone