Letter to Parents Regarding Use of R-Rated Video click here to remove navigation bar

The letter below is intended as a convenient template for a letter seeking parental permission for showing an R-rated video.  Feel free to edit and add specifics explaining the film’s value to your course of study. 


Dear Parent/Guardian :

Your child is currently studying ____________________ as part of his/her coursework in ________________class.  To enhance your child’s learning experience/understanding of ________________________, I am planning to show the film/ show excerpts of the film  _______________________ on _______________(list date or dates).

Though the film is rated R, I am convinced of its learning value. The rating is due to __________________.  (You might also mention how the film was reviewed.) I can assure you that the film will be shown in appropriate context, including discussion and activities before and after viewing.  I sincerely believe that my students have the maturity to view this film and that _________________________(Explain the learning goals this film or the specific scenes you plan to show will help you achieve in the context of your curriculum.)  This film is a part of the high school library’s collection / has been approved by the Academic Standards Committee.

Please complete the form below either authorizing or exempting your child from viewing _________.  Unless I receive this signed permission slip, I will not permit your child to view / view scenes from the film.  If you do not wish to have your son/daughter view this film, I will gladly provide a relevant and appropriate alternative assignment.

Feel free to phone or email if you have any questions.

                                                                                                Sincerely,

                                                                                                Email:

                                                                                                Phone:


Please complete the following:

Name of student_______________________________

  _____ I grant permission for my son/daughter to view the film /view excerpts of the film __________________

 

_____I prefer that my son/daughter NOT view the film/ NOT view excerpts of the film ______________________________________.

Signature: __________________________________________


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