I ______________________________________ freely give my permission for my image to be posted on the World Wide Web as part of a website for Ware Adult Education Center of The Literacy Project. I also give my permission for a section of the website to be devoted to representing my efforts as a learner. Anything about me, or any work of mine, on the Ware Adult Education website will be removed at my request . My understanding is that this website is to be used for the purpose of publishing student work and promoting the Ware Adult Education Center of the Literacy Project along with its educational and community mission.

Signed __________________________

Date __________________________