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Chelmer Valley High School

Court road
Broomfield
Chelmsford
Essex
CM1 7ER

Letter of consent

Dear parent/guardian

I am writing to you regarding your son/daughter featuring in our A


level media task. With your permission your child will feature in our
2 minute movie as a child in an assembly.
As a parent/guardian you should be aware that we will be following
strict health and safety rules regarding your child’s part in the
scene.
We ask that you and your child sign the slip below, for proof of
recognition that you are allowing your child to participate in our
task.
This film is specially for the OCR media studies A level exam
board and will be uploaded onto YouTube.
Thank you for your time and consideration

Signed
Georgina Gwalter & Jade Saunders

As a parent/ guardian of , I am allowing my child to


take part in the A level piece by Georgina Gwalter & Jade Saunders and am confirming
my child is 16 or over.

Parent/Guardian signature:

Student signature:

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