Date:__________

Dear Parent/Guardian:

I am a student at Appalachian State University, and I am working in your child's class as an intern.    As a part of my class
work, I may be required to shoot videotape, take photos or audiotape in the classroom.

Any products I create will be reviewed by my professors at Appalachian State University who will handle the material
confidentially.  Please indicate below if it is permissible to include your child on videotape, in photographs and/or on audiotape,
and return this to me by ___________________________.
 

Thank you for your cooperation and assistance.

Sincerely,
 

Abby Mullinax