Parental Consent

W. Page Pitt School of Journalism and Mass Communications
Marshall University
Summer High School Journalism Workshop
June 21-25
Huntington, West Virginia

Parental Consent to Participate in the Workshop
Please write in your student’s name and sign the appropriate line as a parent or guardian. Your signature gives your student permission to attend the High School Journalism Workshop. Your permission gives Marshall University personnel the authority to educate, house and transport your student during the workshop without liability to the university.
PRINTED NAME OF WORKSHOP PARTICIPANT: _______________________________________

Consent and Release on Behalf of Workshop Participant

I am the parent or legal guardian of the above named minor. I agree to be bound by all the terms of the agreement on this and other pages attached to this informational document. I also give my consent to the participation in the activity of the minor.

SIGNATURE: __________________________________________________________________
(Signature of Parent/Legal Guardian Consent and Release on Behalf of the Minor)
DATE: __________________________________________
PRINTED NAME OF Student’s Parent/Guardian ___________________________________