ALLENSTOWN ELEMENTARY SCHOOL

WEBSITE RELEASE

STUDENT INFORMATION

By policy, any personally-identifiable information related to students will not be published on Allenstown Elementary School website without a specific signed release from a parent or legal guardian.

_____I authorize the Allenstown Elementary School to publish the following information related to my son/daughter on school sponsored websites.

• First and last name (Example - For special recognition such as honor roll lists)

• Any group, class, team or activity photographs that name individual students

• Art work, essays or other student work products that name the student author

_____I do not authorize the Allenstown Elementary School to publish any information on school sponsored websites that names my son/daughter

Student Name: _______________________________________________

Parent or Legal Guardian Name: __________________________________

___________________________________ ______________________
Signature of Parent/Legal /Guardian Date