Movie Release Form - Verona Public Schools



VHS Anime Club Media Release Form

Dear Parents/Guardians,

Your child has expressed an interest in joining Verona High School’s Anime Club. The mission of the Anime Club is to explore, watch, and critique various Anime, as well as other aspects of Japanese culture. The Anime Club meets every Thursday from 3:00 PM – 4:00 PM in Room 23 at the Verona High School.

During Anime Club meetings, we will be watching episodes from various anime, and immediately discussing the episodes. This permission slip releases your child to view all “TV-14” television shows and “PG-13” rated movies throughout the 2016 - 2017 school year.

Students without permission will be excused from the classroom during the anime viewing sessions. These students will be asked to return to the class after the anime is over to join in on the discussion/participate in follow-up activities.

By signing this permission slip, you are giving your child permission to view

“TV-14” shows and “PG-13” movies in Anime Club.

If you have any additional questions, please feel free to contact Mr. Fineman at cfineman@.

Domo Arigato (Thank You),

Mr. Fineman

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Student Name (please print) Date

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Parent Name (please print) Parent Signature

My child is allowed to watch “TV-14” and/or “PG-13” content at the

HS Anime Club.

My child is not allowed to watch “TV-14” and/or “PG-13” content at the VHS Anime Club

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