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Hampden Academy

WEB Publishing Permission Form

Hampden Academy publishes web pages that may be viewed on the world-
wide web. Your child’s school has a web site which is a part of this activity.
The objectives for publishing these pages include sharing, communicating,
and providing information and resources to our students and staff.

It is Maine State Law to seek parental permission before including your

child’s photo, first name or creative work on the Internet. All creative work
will be copyright protected.

Student’s Name__________________________ Grade______________

I give Hampden Academy permission to publish the following on the


_____________ A photograph or video clip of my child.

_____________ My child’s work (artwork, writing, photograph, etc.)

with first name only.

Parent/Guardian Signature___________________________ Date ______

This permission form will remain on file for the school year.

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