Dear Parent/Guardian:
 

I am a student at Appalachian State University. I am currently working in your child’s classroom as an intern. As part of my class work I may be required to shoot videotape, take photographs, or audiotape in the classroom. I may also need to copy student work.

My professors at Appalachian State University who will handle the material very confidently will view any products that I create. Please indicate below if it is permissible to include your child on videotape, in photographs, and/or audiotape. Please have your child return this by ____________________________.

Thank you for your cooperation and assistance.

Sincerely,
 
 
 

Student Name: ________________________________

Please check appropriate response:

_____ Yes, it is ok for my child to be video tapped, photographed, and audio taped.

_____ No, I would rather my child not participate in the activities listed above.
 

Parent/Guardian Signature: _______________________________
Date: _________________________