WASCP PG MOVIE PERMISSION SLIP
I would like to show child-appropriate PG-rated movies during Wallace After-School Care. Please review this PARTIAL list of movie titles and sign below if you have no objection to your child seeing them. If there is a particular movie you do NOT want your child to view, please cross it off the list.
Charlie and the Chocolate Factory (Johnny Depp version) – mild language and quirky situations
Teenage Mutant Ninja Turtles I, II, III, and IV – animated and swashbuckling violence, mild language and some scary cartoon images
Flushed Away – crude humor and some language
How to Train Your Dragon – intense action and some scary images and brief mild language
Up – some peril and action
Planet 51 – mild sci-fi action and suggestive humor
Alvin and the Chipmunks – mild rude humor
Alvin and the Chipmunks: The Squeakqual – mild rude humor
Ice Age – mild rude humor and peril
Ice Age: Meltdown – mild rude humor and peril
Monsters and Aliens – sci-fi action and crude humor
Open Season – rude humor and mild action
Shrek 1, 2, and 3 – crude humor, suggestive content and swashbuckling action
My child _______________________________________________ has my permission to view the PG-rated movies listed above (excluding any that are crossed out).
Any child whose parent does not return this signed permission slip will not be allowed to view these movies.
X _________________________________________________ _________________________________
Signature of Parent Date
WASCP PHOTO PERMISSION FORM
I give permission for my child _____________________________________ to be photographed and/or videotaped by the Wallace After-School Care Program for the following use:
_____ Yes, I give permission for use in the Wallace After-School Care Program (for example, post on bulletin boards in school).
_____ Yes, I give permission for use on the Wallace After-School Care Program website (http://wallaceaftercare.webs.com/index.htm) .
_____ No, I do not give the Wallace After-School Care Program permission to photograph and/or videotape my child.
X _______________________________________________ ___________________________________
Parent Signature Date