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.  I may also copy (photocopy, scan, videotape or
photograph) student work.

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,