| PARENT PERMISSION |
| If you would like to participate in the student collaboration activity, review the following , complete and sign on the appropriate lines and return form to advisor/teacher: Name of school collaboration project _______________________________________________ Country _______________________ School ________________________________________ Teacher _________________________ email ________________________________________ We understand this is a school communication assignment. Instructions will be listed at the assignment website: _____________________________________________________________________________ An ePals (http://www.epals.com) email address will be assigned to student. This address will be used for all email communication during this project. Communication will be monitored by teacher/advisor; questionable correspondence will be discussed with student and/or parent. Appropriate action will be taken. Student and parent(s) assume responsibility for the effect of all communication. Student agrees to abide by all classroom, school, state, national and international law regarding email communication. Should anything unusual occur, student and parent(s) will inform advisor/teacher and cease communication until the situation is resolved. I would prefer to communicate with a (circle) boy * girl. ________________________________ _____________________________ __________ Print name of parent Print name of student Date ________________________________ _____________________________ __________ Parent Signature Student Signature Date _____________________________________________________________________________ Address, City, State, Zip _____________________________________________________________________________ Phone number(s) _____________________________________________________________________________ Parent's email address _____________________________________________________________________________ Teacher/Advisor Signature Date Steve's Advisory @ the Prospect Education Center, Porterville, CA USA http://www.geocities.com/pecglobalscience/steveadvisory ===================================================================== TO BE COMPLETED BY ADVISOR/TEACHER ===================================================================== ePals email address ______________________________________________________________ Name of student overseas ________________________________________________________ Email address for student overseas _________________________________________________ (c) 2007 * S. Reynolds * [email protected] |