Permission Slip

Parent Permission Slip
I,Parent/Guardian's Full Name*, the parent or legal guardian of Child's Full Name * give my child permission to participate in The Community-based Mural Art Project.
I understand that I am giving my child permission to participate in the following activities
1. I allow for some segments of the class to be recorded (Purely for documentation purposes, recordings will not be shared with anyone but my professors)
2. I allow student's work to be Documented/Uploaded to Google Classroom/Drive
Emergency Contacts
Name: First   Last
Relationship:
Phone Number: Area Code   Phone Number
Name: First   Last
Relationship:
Phone Number: Area Code   Phone Number
Parent/Guardian Signature:
Date:

MonthDayYear
Date
Should be Empty:

Parent Permission Slip