Rated PG movie Permission Slip 2011-2012
Parent(s):
The Appleton Area School District Elementary Policy Manual for Staff indicates the following
for movies:
Only G-rated films will be used with elementary students
Teachers must preview content prior to showing any movie in school.
Reasonable use of movies is expected. Movies will have educational value and will be tied
to AASD curriculum.
Teachers will be responsible to provide an appropriate “opt out” activity if the child is not
permitted to see the film.
Some of the movies we show may have a PG rating. These movies require parent permission.
Titles may include the following: Charlotte’s Web, Nim’s Island, Shiloh, Shiloh Season, The
Spiderwick Chronicles, The Chronicles of Narnia; The lion, the Witch and the Wardrobe, Bridge
to Terabithia, Because of Winn-Dixie, James and the Giant Peach, Matilda, Stuart Little,
Charlie and the Chocolate Factory, Enchanted, Holes, How to Eat Fried Worms, Lemony
Snickett’s A Series of Unfortunate Events, Peter Pan, The Borrowers, Tuck Everlasting, Mr.
Popper’s Penguins along with other award-winning books that have been made into movies.
Please sign below if your child has permission to watch educationally relevant rated PG movies
that are tied to the AASD curriculum.
_____ Yes, my child ________________________, has permission to watch rated PG movies.
_____ I prefer that my child not watch rated PG movies. I understand that appropriate “opt
out” activities will be provided.
_____________________________ ____________________
Parent Signature Date