PG Movie Permission Slip

PG Movie Permission Slip
Full name of child*

First NameMiddle NameLast Name
Date of birth*

MonthDayYear
Date
On specific days we will be having a special movie time for PreK and Schoolagers. Please sign below giving your child permission to watch various PG rated movies at Dragon Academy. All movies will be approved by management prior to viewing.

Thank You!
Will you allow your child to watch a PG movie?

YesNo, another option will be provided, please notify the front desk
Guardian Name

First NameLast Name
Guardian Signature

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Date

MonthDayYear
Should be Empty: