The Youth Chinese Test (YCT)
University of Central Arkansas
Confucius Institute
March 31, 2012
PHOTOGRAPHY CONSENT FORM
My child, _____________________________________ (please print), is registered to
participate in the Youth Chinese Test (YCT), to be held on March 31, 2012 by 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