Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Holbrook Junior/Senior High Students on YouTube!

We are going to be videotaping for our annual YouTube projects and we want
you to be in our videos! However, we need a parent/guardian signature
stating that it is okay for you to be on a video that will later be uploaded onto
the internet. Hope you can be a part of it! Please have your parent/guardian
fill out the form below and return to the class.

o Yes I give my permission for __________________________ to put a video on YouTube.

o No I do not give my permission for __________________________ to put a video on


YouTube

Parent/Guardian Signature
My child may be videotaped for YouTube videos.

Participants Name ______________________________________________

Contact Number_________________________________________________

Parent/Guardian Name___________________________________________

Signature of Parent/Guardian______________________________________

Date___________

Page 1 of 1

You might also like