Permission Slip for "Lean on Me"


Sweetwater Middle School

Parental Permission for PG Movies

            ________________________

Dear Parents,

 

To supplement our curriculum, I would like to use the video program identified below. The video is rated PG-13 due to ___language and moderate fighting__ and parental approval is required before students are allowed to view it. Please complete the information below indicating your preference for your child to watch the video. If you do not want your child to view the video, an alternate activity will be provided. Please feel free to contact me if you have any questions.

 

Sincerely,

 

__Ms. Thompson 

Video Title  Lean On Me ______________________________________________

 

            AKS Objective _The movie offers students an opportunity to experience a variety of music genres including classical, soul, and contemporary through watching students a similar background perform. This movie also shows the power of music to inspire students to go beyond stereo types and pre conceived notions as well as both conventional and unconventional ways music can be used in film.  The movie is also a great example of how students can achieve regardless of their background and can accomplish any goal that they choose.

 

         Ø  I have no objection to my child viewing this video.

 

                      ________________________________________________________

                                                        Student Name

 

                      ________________________________________________________

                                                        Parent Name

 

                      ________________________________________________________

                                                        Parent Signature

 

 

Ø  I do not want my child to view this video.

 

                      ________________________________________________________

                                                        Student Name

 

                      ________________________________________________________

                                                        Parent Name

 

                     _________________________________________________________

                                                        Parent Signature