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Last Updated: Jan 8th, 2011 - 16:45:13
| About Movies in the Classroom |
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Basic Movie Permission Slip
By Melissa Gruber
Aug 15, 2006, 10:22 PST
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www.NewLineShop.com
Your School
Movie/Video Permission Form
Request Date:__________________________________________
Teacher Name:_________________________________________
Name of Movie/Video:____________________________________
Rating on Movie/Video:___________________________________
Reason for showing the Movie/Video:________________________
___________________________________________________
___________________________________________________
___________________________________________________
Date of viewing:_________________________________________
Teacher Signature:_______________________________________
Student Name:__________________________________________
Parent/Guardian Approval:_________________________________
Your School
Movie/Video Permission Form
Request Date:__________________________________________
Teacher Name:__________________________________________
Name of Movie/Video:____________________________________
Rating on Movie/Video:___________________________________
Reason for showing the Movie/Video:________________________
___________________________________________________
___________________________________________________
Date of viewing:_________________________________________
Teacher Signature:_______________________________________
Student Name:__________________________________________
Parent/Guardian Approval:_________________________________
© Copyright 2006 by Classbrain.com
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