Permission Form

My signature below indicates that I give my permission for the following activities that I have circled:

Display of my work at Bonner High 

with my real name      with my Spanish name

Publication of my work in a student magazine or newsletter

with my real name      with my Spanish name

Publication of my work on the Internet

with my real name      with my Spanish name

Display of a photo of me at Bonner High

with my real name      with my Spanish name

with a humorous alteration

Display of a photo of me on the Internet

with my real name      with my Spanish name

with a humorous alteration

Creation and use of an email account in Spanish

with my real name      with my Spanish name

Student ___________________   Date____________

Parent/guardian_______________ Date____________