Shenendehowa Central School

Tesago Elementary School

www.tesago.org

Permission to display student photographs

and schoolwork on Tesago’s web site

2005-2006 School Year

From time to time, photographs of Tesago’s students and/or their schoolwork (ie: artwork, stories, etc.) are displayed on Tesago’s web site.  These photographs present our school’s program and are not intended to recognize individual student achievement.

Photographs of students on Tesago’s web site are not identified by name. (Examples may be viewed in the “School Scrapbook” pages of www.tesago.org) If you have any questions about the use of photographs on Tesago’s web site, contact Paul Yattaw (yattpaul@shenet.org).

Please return this form to your child’s teacher at your earliest convenience

Publication of student photographs and schoolwork

(please check one box)

[ ] I give permission for my child’s photograph and schoolwork to be used on Tesago’s web site.

[ ] I do not give permission for my child’s photograph and schoolwork to be used on Tesago’s web site.

Student name (please print) ___________________________________

Student’s teacher and grade level (2005-2006) ____________________

Parent/guardian name (please print) _____________________________

Parent/guardian signature _____________________________________

Date _____________________________