Student Name
I am the parent/legal guardian of the student named above (or the student if at least 18 years old). I have received and read the letter above and agree to the following: (Please check the appropriate box below.)
I DO give permission to include my student in video/audio recordings. I understand the recordings will be shared with trained reviewers outside the school. It may also be used to train other student teachers, faculty and staff.
I DO NOT give permission to video/audio record my student.
Signature of Parent/Guardian (or the student if at least 18 years old):
Signature
Printed Name
5/19/2025
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