Mount Baker School District

World Wide Web Site Permission Form

 I give the Mount Baker School District permission to publish the following items on the school district drama internet site (www.mtbaker.wednet.edu/drama):

student photograph  

Please cross out any of the above items that you do NOT want included on the web site. 

Student Name _____________________ 

Student Signature ______________________________ 

Parent/Guardian Signature ___________________________ 

Date _____________________________