Burlington Central High School
Video Permission Form
United States Historical Perspectives in Cinema
Dear Parent,
My name is Mrs. Arneson and your child is in my United States Historical Perspectives in Cinema
class. Through the course of this class, your child will be viewing several movies so that they can study
the different perspectives of history portrayed by the film industry. This class will teach your child to
analyze what really happened, versus what was made up for the entertainment value of the movie.
The movies your child will be viewing are…
The American Revolution………………………The Patriot (R)
The Civil War………………………………………….Glory (R)
Native American Culture………………………..Dances with Wolves (PG-13)
The Old West…………………………………………Wyatt Earp (PG-13)
1920’s/Depression…………………………………Cinderella Man (PG-13)
1950’s/60’s Life……………………………………..American Graffiti (PG)
Cuban Missile Crisis……………………………….Thirteen Days (PG-13)
1970’s/80’s Life……………………………………..Miracle (PG)
Modern War & Conflict………………………….The Black Hawk Down (R)
Modern Civil Action……………………………….The Insider (NR)
Sept. 11th/Terrorism………………………………World Trade Center (PG-13)
A strong attempt has been made to include movies that are based on actual events, even though some
may be historically inaccurate. Also, movies were selected to avoid specific R rated material. The movies
that are rated R are mostly due to realistic war violence. If there are any specific questions about the
content, feel free to contact me (jarneson@burlington.k12.il.us).
Please sign the form below, indicating whether your child may view or may not view these movies. The
student needs to return this signed form before seeing the movies. Only students who have a signed
permission form will be permitted to view these movies.
I, ______________________________________, give/do not give [circle one] my permission for
(Parent/Guardian Name)
________________________________________ to watch the movie listed on this form.
(Student’s Name)
_________________________________________________________ __________________________
(Signature)
(Date)