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SRMS Acceptable Use Permission Form 2016-17
Please complete the Acceptable Use Policy (AUP). For additional information, read the full AUP here: http://www.sau17.org/images/stories/Administration/SchoolBoard/PolicyIndex/SectionJ/jicl-e.1.pdf
Student's First Name
Your answer
Student's Last Name
Your answer
Student's Current Grade Level (2016-2017)
Parent Permission for Publishing of Student Work on the Internet: We understand that our child’s artwork, writing, or other project, is under consideration for publication on the World Wide Web, a part of the Internet, and Newspaper (which may also be on the Internet). We further understand that the work will appear with a copyright notice prohibiting the copying of such work without express written permission. No home address or telephone number will appear with such work. We grant permission for the World Wide Web publishing as described above indefinitely or until removal is requested by us.
We grant permission for the world Wide Web publishing as described above indefinitely or until removal is requested by us. Parent/Guardian Signature:
Your answer
I, the student, also grant my permission for such publication. Student Signature:
Your answer
Date:
Your answer
Parent Permission for Publishing of Student Photographs/Video: We understand that our daughter's or son's photograph/video is under consideration for publication on the World Wide Web, a part of the Internet, and Newspaper (which may also be on the internet). We further understand that names, if used, will use this format: first name, last initial (i.e., Joe S.). No personal information will be published. Specifically excluded will be such information as: Home Address; Phone Number; Email Address.
As the parent/guardian of a minor student:
We grant permission for the world Wide Web publishing as described above indefinitely or until removal is requested by us. Parent/Guardian Signature:
Your answer
Date:
Your answer
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