Permission Slip for Buckingham Use

I ______________________________ give Buckingham Charter Magnet High School

permission
Please all
that apply

To photocopy some / all of my portfolio components

To scan some / all of my portfolio components and store

electronically

All portfolio components will be stored anonymously and may be used as

examples for future students.

I _____________________________ do not give Buckingham Charter Magnet High

School permission to copy components of my portfolio in any capacity.

Student Signature ________________________________________

__________

Date

Parent Signature __________________________________________

__________

Date

Senior Portfolio Advisor Signature _______________________________

Date _______