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*

Weekly Virtual Art Sessions via ZOOM.One Individual in-person Session.
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)*

YesNo
2. I allow student's work to be Documented/Uploaded to Google Classroom/Drive*

YesNo
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:

Clear
Date:

MonthDayYear
Date
Should be Empty:

Parent Permission Slip