Please sign and date below. Return this sheet to Mrs. Dyer.
Course: World Civilizations
Instructor: Mrs. Jessica Dyer
Student Name:________________________________
My signature below indicates that I have given permission for my child to view videos and films
shown in the above indicated course. I understand that the videos will be selected based upon
their educational value and relevance to the course. I also understand that some of the videos
may contain some graphic content (war-related imagery, etc.), and I recognize the instructor will
use her professional discretion in showing such films.
Parent Signature:____________________________________
Date:_________________________
………………………………………………………………………………………………………
Please sign and date below. Return this sheet to Mrs. Dyer
My signature below indicates that I have read the course syllabus and classroom procedures for
Mrs. Dyer’s World Civilizations class and I fully understand the expectations and requirements
for this course.
Parent Signature: _______________________
Date:________
My signature below indicates that I have read the course syllabus and classroom procedures for
Mrs. Dyer’s World Civilizations class. I fully understand the expectations set forth for my child
while he/she is enrolled in the course.
Student Signature: _______________________
Date:________