Author: Administrator

Internet Media Permission Form

I actively use our class blog and website for sharing various activities students are involved in throughout the year. I like to upload pictures or videos of exciting lessons, speakers, and field trips that you may not have the chance to be involved with. In order to put pictures or videos of students on the Internet, I need a signature of the legal guardian of the student. I will not be putting last names with the pictures, just a brief description of what was taking place.
My Website Address:
mrsroubicek.weebly.com
On the website, I also have weekly assignments posted, calendars, helpful explanations, educational links, and much more!
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By signing below, I give my permission to put my student’s picture or video on Mrs. Roubicek’s SES website. I understand that my students last name will not be associated with any of the pictures or videos _________________ ______________________ __________
Student’s Full Name Legal Guardian Signature Date