Date:
I hereby give ___________________ (name of teacher/etc.) the unqualified right to to take pictures of me _________________ (subject's name), and to put the finished pictures in the Digital Maryland World Wide Web Project. I understand that these pictures will be accessible to anyone with Internet access and may be used in instructional settings, however, no names of subjects will be published.
Teacher__________________________
Subject Signature:____________________
Name printed:_________________
Parent's signature if minor child: ___________________
Address:_____________________
City:________________________
State/Zip:____________________
School_________________________