Video presentation permission form mary o'dell video broadcast permission form willow high school teacher’s name: date: name of video: video rating - g pg pg-13 r nr (not rated) unknown (you must have signed parental permission slips for ratings above pg-13) what alternate activity will be provided for any students who do not have parental permission? how was the video acquired? taped from tv/cable rented (i have permission to show it.) owned by the school teacher owned other (explain) length of video date(s) to be shown blocks(s) you will be showing this video - 1st 2nd 3rd 4th (circle all that apply) what essential question(s) are you studying and how will this video relate to them? what follow-up activities are planned for the video? (1 is required) teacher’s signature the teacher signed above accepts responsibility for copyright compliance for broadcasting this video. principal’s signature (or designee) date approval is required for materials not owned by the school approved denied 1) what essential question(s) are you studying and how will this video relate to them? what follow-up activities are planned for the video? (1 is required) based on the form, what inference can you make from the comparison of these two questions? a) video presentations require planning. b) video presentations are required at least one time. c) videos presentations are used during free time and after tests. d) it is essential to ask students questions about each video presentation.