Susan MacKinney's
Web Permission Slip
Dear Parent or Guardian,
I believe that your child's work would make a very positive
addition to my Web page (url: www.oocities.org/hbwmathman) and would
benefit teachers and students alike. If your child's work is used,
for safety reasons only your child's first name will be published on
the Web site.
If you agree to allow your child's work to be used in the manner
described above, please down load this form, fill it out, sign the
release, and have your child return the form to me as soon as
possible. Please do not e-mail this form to me as I need your written
signature on the release.
Thank-you for your consideration.
Sincerely,
Susan MacKinney
I, _______________________________________________, hereby
authorize Susan Mackinney / Bruce Titen to use any of the works of my
child, ______________________________________________ including any
drawings, illustrations, essays, and photographs or other tangible
class activities produced by my child for this unit : Dr.Seuss slide
show.
Signature of Parent/Guardian
_________________________________________
Printed name of Parent /Guardian
_____________________________________
Child's name printed
_______________________________________________
Date: _____________________________

Susan MacKinney and Bruce Titen's
Web Permission Slip
Dear Parent or Guardian,
I believe that your child's work would make a very positive
addition to my Web page (url: www.oocities.org/hbwmathman) and would
benefit teachers and students alike. If your child's work is used,
for safety reasons only your child's first name will be published on
the Web site.
If you agree to allow your child's work to be used in the manner
described above, please down load this form, fill it out, sign the
release, and have your child return the form to me as soon as
possible. Please do not e-mail this form to me as I need your written
signature on the release.
Thank-you for your consideration.
Sincerely,
Susan MacKinney and Bruce Titen
I, _______________________________________________, hereby
authorize Susan Mackinney / Bruce Titen to use any of the works of my
child, ______________________________________________ including any
drawings, illustrations, essays, and photographs or other tangible
class activities produced by my child for this unit : Woman in
science.
Signature of Parent/Guardian
_________________________________________
Printed name of Parent /Guardian
_____________________________________
Child's name printed
_______________________________________________
Date: _____________________________

Susan MacKinney 's
Web Permission Slip
Dear Parent or Guardian,
I believe that your child's work would make a very positive
addition to my Web page (url: www.oocities.org/hbwmathman) and would
benefit teachers and students alike. If your child's work is used,
for safety reasons only your child's first name will be published on
the Web site.
If you agree to allow your child's work to be used in the manner
described above, please down load this form, fill it out, sign the
release, and have your child return the form to me as soon as
possible. Please do not e-mail this form to me as I need your written
signature on the release.
Thank-you for your consideration.
Sincerely,
Susan MacKinney
I, _______________________________________________, hereby
authorize Susan Mackinney / Bruce Titen to use any of the works of my
child, ______________________________________________ including any
drawings, illustrations, essays, and photographs or other tangible
class activities produced by my child for this unit :.
Signature of Parent/Guardian
_________________________________________
Printed name of Parent /Guardian
_____________________________________
Child's name printed
_______________________________________________
Date: _____________________________