Student Name ________________________________

Parents/Guardians,

Please read and sign each section below and return this page to school tomorrow. Thank you!

Section 1.

I have read and understand the 6th grade assignment policy and the management plan. I am supportive of these policies that increase ____________________’s personal responsibility.

____________________________ ______ ____________________________ ______

Parent/Guardian Signature Date Student Signature Date

Section 2.

During the school year, the sixth grade team may watch movies for “class parties” or “no missing assignments”. The movies that we may watch will be rated either “G” or “PG”. We will not watch movies that are rated “PG-13” or higher, but we do need parent permission to watch “PG” movies. This permission slip will either allow or not allow your student to watch movies during this school year.

_____ Yes, my student has permission to watch “PG” movies.

_____ My student has permission to only watch “G” movies.

Parent/Guardian Signature _____________________________

Date __________________

Section 3.

Some teachers utilize email addresses for quick parental contact. If you wish to receive information or contact from teachers by email, please supply your email address below:

Parent Name Email address

Additional name and email if applicable