Videopermissionform

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VideoPermissionForm

DearParentsandGuardians,

Toenhancelearningandtheintegrationofcoreconceptsintotheclassroom,occasionally,films
andTVepisodeswillbeshowninmyclassroomthisyear.

Iamnotifyingyouthatwewillbewatchingafilm/videoinclasswithanaboveGrating.

Iwillbeshowingthisfilm/videoon______________________

Film/VideoTitle:_____________________________________________________________

MotionPictureIndustryRating:_________________

Topicunderdiscussiontowhichfilm/videoisrelevant:________________________________

Instructionalobjectives:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

PleasereturnthepermissionslipBELOWby________________________

TeacherSignature:______________________________Class:
FamilyandConsumerSciences

StudentsFullName:____________________________________________________________

_____Yes,Igivemychildpermissiontoviewcurriculumandschoolappropriatefilm/videos
relatedtoclassroomcontentandsubjects.

_____No,IdoNOTgivemychildpermissiontoviewcurriculumandschoolappropriate
film/videosmentionedinthisletter.Iunderstandalternatelearningexperienceswillbeprovided
formychildwhilethevideoisbeingwatched.

SignatureofParent/Guardian:_____________________________________________________
Date:____________________

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