Ap language and composition film permission form

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During the second quarter, your child read and discussed The Autobiography of Malcolm X as told to Alex Haley. To extend the themes present in that work of literature, I will show a film in class. The following includes the rating and a brief description of that film:

Malcolm X: Biographical epic of the controversial and influential Black Nationalist leader, from his early life and career as a small-time gangster to his ministry as a member of the Nation of Islam.

The film received a PG-13 rating for the following reasons:

a scene of violence, for drug use, and some language.

Please complete the form below either allowing or denying permission for your child to view the film. Students not allowed to view the film will be sent to the library if it is open to students at that time.

I DO / DO NOT (circle one) give my child permission to watch the films.
_________________________________ ___________________

Print Student’s Name Class Period

_________________________________ ___________________

Parent/Guardian's Signature Date

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