The 11th Chinese Bridge – Chinese Proficiency Competition in Arkansas
University of Central Arkansas
Confucius Institute
April 7, 2012
PHOTOGRAPHY CONSENT FORM
My child, _____________________________________ (please print), is registered to
participate in the 11th Chinese Bridge – Chinese Proficiency Competition, to be held on April 7,
2012 at the Confucius Institute of Arkansas.
As the parent / legal guardian I give my consent for my child to be photographed and his/her
name printed, if necessary. I understand that random photographs may be printed on the UCA
website, the Confucius Institute website and print materials, the Hanban webpage and magazine
or possibly in the Log Cabin Democrat and Arkansas Democrat-Gazette newspapers; and I give
my permission for such.
_________________________________
Print Name of Parent or Legal Guardian
_________________________________
Signature of Parent or Legal Guardian