2015 Chinese Bridge-Summer Camp for U.S. High School Students
Confucius Institute
University of Central Arkansas
July15-31, 2015
PHOTOGRAPHY CONSENT FORM
My child, _____________________________________ (please print), is registered to
participate in the 2015 Chinese Bridge-Summer Camp for U.S. High School Students, to be held
in China from July 16th to July 31st, 2015, sponsored by the Confucius Institute for 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