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Parents/Guardians of Students in the Gifted/Enrichment Program:
In order to put student work and photographs on the Milford Board of
Education web site,we need the signed permission forms. Please review the form
below. If your child has not brought home this form for you to sign, please
copy and print the form below. As you review the form, mark one box in each
section with your preference. Sign and have your child return this form to
school to his or her Enrichment teacher as soon as possible.
Students in the Enrichment program are redesigning the Enrichment web site
for district and of its Gifted/Enrichment programs for their project. Other
students have picked a topic for their project and are designing a link to the
new web site to showcase what they have learned.
Thank you in advance for your cooperation in completing and returning the
permission form.
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Harborside Middle School
175 High Street
Milford, CT 06460
PERMISSION TO PUBLISH STUDENT WORK AND/OR PHOTOGRAPHS
Student Name ________________________________________ Grade ______
Dear Parent/Guardian:
As the parent or legal guardian of the above named student, your
permission is requested to have your child’s work and/or photographs on the
Milford Public School web site.
Check one: (Regarding use of student work on website)
__ I grant permission to have a photo or copy of my child’s student work
published on the school web site.
__ I do not grant permission to have a photo or copy of my child’s student
work published on the school web site.
Check one: (Regarding use of you a photo of your child on web site)
__ I grant permission to have my child’s photo published on the school web
site.
__ I do not grant permission to have my child’s photo published on the school
web site.
Check one: (Regarding use of child’s first name only on web site)
__ I grant permission to have my child’s first name only to be used on the
school web site.
__ I do not grant permission to have my child’s first name only to be on the
school web site.
Parent/Guardian Name: (please print) _____________________________________
Relationship: ___________________________________________________________
Signature: _____________________________________ Date: _________________
Please return this form to: Mrs. Lynn Coleman, Enrichment Teacher at
Harborside Middle School.
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