Permission Slip to be Videoed for STAT 311 Class Project
I give my permission for _________________________________________________________
To _be videoed for a college class project so that the student teacher can be evaluated _________________
On (date) _____________________________________________________________________
Comments / notes _The only other people to see this tape will be another student in the college class to
critique the first student and the professor of the course.
Signed ________________________________________
(Parent / Guardian)
Date_____/______/______
Parent / Guardian’s phone number (home) ________________________________
Parent / Guardian’s phone number (cell phone) ______________________________
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