[ON SCHOOL LETTERHEAD]

Dear Parent or Guardian,

Congratulations! Your student has been selected to participate in the Digital Documentaries initiative, an exciting educational program, supported by the Bronx Borough President’s Office and Teaching Matters, Inc., a New York City based non-profit organization. Over the next three months, your child will have the opportunity to use video technology to learn about key areas of the curriculum and use 21st century learning skills. Students in your child’s class will research, direct, and produce their own mini-documentary while meeting New York City and State Standards. To learn more about this special opportunity, please visit our website at http://www.teachingmatters.org/digidocs.

Teaching Matters, Inc., a non-profit organization that seeks to disseminate best practices in technology, would like to document this unique experience and would like to kindly request your consent in exhibiting student work for educational purposes only. Student work will never be used for commercial purposes and will never be sold. We ask you to sign this release so that we can indicate good uses of technology in the curriculum and so that we may showcase the wonderful achievements of our students. Thank you very much!

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CONSENT TO EXHIBIT STUDENTS’ WORK ON THE WEBSITE, AT AN EXHIBIT, MAGAZINE, ANNUAL REPORT AND/OR TEACHERS’ MANUALS PRODUCED BY TEACHING MATTERS, INC. FOR NON-PROFIT EDUCATIONAL PURPOSES

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Name of Student Region School Class

I am the parent or guardian of the above named student. I hereby consent to the exhibition of my son/daughter’s work on the website, at an exhibit, in the magazine, annual report and/or teachers’ manual produced by Teaching Matters Inc., a non-profit educational organization. The exhibition of my son/daughter’s work shall include my son/daughter’s first name, grade and school. I understand that this work may also include images of my child. I hereby release the New York City Department of Education, the City of New York and their agents and employees from all claims, demands, liabilities whatsoever in connection with the exhibition of my son/daughter’s work. I understand all rights and interest in the work shall belong exclusively to my son/daughter. I understand that my child will receive no compensation for the exhibition of his/her work on the website, in the magazine, annual report, or teachers’ manuals.

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Print Name of Parent or Guardian Date

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Signature of Parent or Guardian