This form is printable

PERMISSION FORMS
Please do not cut or separate this paper

"PG" Movie Viewing


____________________________                __________                __________________ (PLEASE PRINT)
STUDENT’S      NAME                         Class Period                               Date
PLEASE SIGN HERE IF YOU GIVE PERMISSION FOR THE ABOVE NAMED STUDENT TO VIEW “PG” RATED
VIDEOS RELATING TO CLASS CURRICULUM.  This is rarely done, but I need your permission.



_____________________________
Parent/guardian signature

-------------------------------------------------------------------------------------------------------------------------------------------------------

Festival Permission

PLEASE SIGN HERE IF YOU GIVE PERMISSION FOR YOUR CHILD TO PARTICIPATE IN THE CONCERTS AND
FESTIVALS LISTED ON THE PERFORMANCE SHEET DURING THE SCHOOL DAY AND TO RIDE A SCHOOL BUS TO
THESE EVENTS AND OTHER POSSIBLE BAND RELATED ACTIVITIES.



______________________________
Parent/guardian signature


-------------------------------------------------------------------------------------------------------------------------------------------------------

Photo Consent and Release

_____________________________, give consent to
        (Parent/ Guardian name)
The Band program at Roy Jr. high school to use (circle one) my sons/my daughters photo taken in
connection with the R.J.H.S  Band program for posting on the Band website. This also includes the Tri-m
Music honor society. I release all school employees at Roy Jr. high school from any and all liability that may
arise in connection with such use.

I am the present or legal guardian of the child named below and have the legal authority to execute this
consent and release.



Signature of parent/ Guardian.______________________________ Relation to
child_________________________



Childs name__________________________________Date of signature____________________


There is no need to cut this paper.  If you do not give permission for one or both listed above simply do not
sign where indicated.  Please return this paper with the Band Contract form.

Thank you for your cooperation.  If you have any questions, please call me at 476-5260, or see me at
Roy J.H.S. from 7:30 a.m. - 3:30 p.m.

Sincerely,
Paul C. Hermann
Band Director

I apologize for the inconvenience for the excess of permission forms and disclosure papers, but it is necessary. (It’s due
to having too many attorneys and too little work for them….Thanks to the 90’s)