VANCOUVER SCHOOL DISTRICT FILM/VIDEO PARENT CONSENT FORM                      

10-29-07

Dear Parent or Guardian:

The following film/video tape will soon be shown in your student’s classroom: 

Title: The Mists of Avalon Rating:     None – Shown on TNT

Showing Date:   Flexible dates:  probably sometime with last week of October and first week of November

Teacher: Dr. Bev Questad:  Beverly.Questad@vansd.org   Class:  Freshman Pre-AP English

Educational Objective (s):  This film details the legend of King Arthur based on events in the fourth and fifth centuries.  The content will be used to better understand the role of the hero and basic themes throughout western literature.

Reason for rating:  I have not found any rating.  However, the legend of King Arthur involves battles and

romantic triangles.  While there is no explicit sex there is implied union and there are battle scenes.  I don’t recall any profanity.                                                                                                           

In accordance with district guidelines R6134.3,  you have the option of excusing your student from viewing this film/video if you wish to do so. If you choose to exercise this option, an alternate assignment will be provided. If you have any questions or would like to preview the film or videotape, please contact the teacher listed above during regular school hours at 313-4200

TO BE FILLED OUT BY THE TEACHER AND ISSUED TO EACH STUDENT AT LEAST FIVE SCHOOL DAYS BEFORE THE SHOWING DATE.

TO BE FILLED IN AND SIGNED BY THE PARENT OR GUARDIAN AND RETURNED TO SCHOOL BY THE SHOWING DATE GIVEN ABOVE.

has my permission to view the film/video

Student Name

does not have my permission to view the film/video described above.

                                     Student Name

                       Signature of Parent/Guardian                                                                           Date

FAILURE TO RETURN THIS FORM PRIOR TO THE SHOWING DATE LISTED ABOVE WILL RESULT
 IN YOUR STUDENT BEING EXCUSED FROM THE SHOWING OF THE FILM/VIDEO

More information at the Internet Site for The Mists of Avalon:  http://alt.tnt.tv/movies/tntoriginals/mists/