VIDEO PERMISSION SLIP – PSYCHOLOGY
We have the opportunity to use some commercial movie/video work to illustrate various psychological
concepts. The intent of using these commercial pieces is to enrich the understanding of the issues involved.
Care is used in selecting and presenting this material, and use of footage is due to the light shed on the concepts
being discussed in connection with class work. In most instances, only portions of these films will be viewed.
Because of the ratings for some of these videos, I am seeking your permission to show them. Please complete
the parental permission section and have your student return this form to me on Monday. I will photocopy the
form for you and keep the original in your student’s file.
This list includes more videos than we see all or part of. However, since we might use any of these, all are
listed.
A Beautiful Mind (2001) PG-13
The Dream Team (1989) PG-13
Antwone Fischer (2003) PG-13
The Other Sister (1999) PG-13
As Good As It Gets (1997) PG-13
Rain Man (1988) R
Benny & Joon (1993) PG
Remember the Titans PG
Con Air R
Rudy (1993) PG
Patch Adams PG-13
The Sixth Sense (1999) PG-13
The Breakfast Club (1985) R
Sybil (1976) TV movie, not rated
Lars and the Single Girl (2007) R
One Flew Over the Cukoo’s Nest (1975) R
The Dark Knight (PG-13)
Parent/Guardian Permission:
I give my daughter/son ____________________________________________ my permission to view
(print first and last name)
the videos listed above in connection with the Psychology class.
_________________________________________________
Signature
______________
Date
Print Name:
Phone Number:
Robertson ‘04