Miss Representation Screening Permission Slip

POWER Club is hosting a movie night to raise awareness about the medias representation of women. The movie is a documentary that has no rating. It includes strong language and brief nudity. This movie is appropriate for Upper School students only, and all students must have this permission slip signed to attend. When: Thursday, April 10th Time: 5:00-7:00pm Where: BASIS Tucson North Gym Cost: Free

My child, ____________________________________, in Grade ________has permission to attend the movie night in the gym at BASIS Tucson North on Thursday, April 10th 5:00-7:00pm

Parent Name (please print): ____________________________________________

Parent Signature: ____________________________________________________

Date: ________________________