Parent Consent Letter
Dear Parents and Guardians:
We will soon be visiting the JA BizTown facility to participate in the experiential simulation.
Our on-site class visit is scheduled for Thursday (Lions) and Friday (Leopards) March
27,28, 2014. We will be leaving school at 8:00 a.m. and returning at 2:15 p.m. We agree that
the school officials, the driver of the buses, or the city of Maryville will not be held responsible
or liable in case of an accident.
Students are videotaped (photographed) daily by the student Camera Operators working at JA
BizTown. This videotape (photograph) is given to the school for later viewing in our classroom.
On occasion, the JA BizTown experience may be photographed or videotaped by external media
for use in communications and marketing materials.
Please complete the form below to give permission for your child to accompany us to
JA BizTown. Inform us of your preferences for including or omitting your child from any such
photography.
This form must be signed and returned by Thursday, March 13th, 2014.
-----------------------------------------------------------------------------------------------------------(Cut Here)
_____Yes, my child has permission to accompany the class to JA BizTown, and I understand
that he/she may be photographed or videotaped.
_____Yes, my child has my permission to accompany the class to JA BizTown, but I request that
efforts be made to exclude my child from any photography or videotaping where he/she may be
easily identified.
_____ I have enclosed $20.00 dollars to cover the cost of the BizTown trip.
_____My child needs a sponsorship of _______dollars to cover the cost of the trip.
_____I have enclosed a donation of _______dollars to help sponsor a child going to BizTown.
_____My child will bring a sack lunch and drink from HOME, neither of which require
refrigeration.
_____My child will need a lunch and drink packed by the CAFÉ’ at MIS
Student Name:_____________________________________
Parent Name:_____________________________________
Parent Signature:___________________________________
Date: ____________________________________________
School Name: _______________________________________