The Southwest Michigan Black Heritage Society

The Southwest Michigan Black Heritage Society


"The connection to yesterday"

History Detectives Logo

"TELLING THE KALAMAZOO RACE STORY"
  PARENTAL CONSENT FORM

I support my , in applying for the "Telling the Kalamazoo
Community Race Story" Oral History Project and agree that he/she, if chosen, will be able to
attend the interview session on October 3, 2009 at the Public Media Network offices, 359 S.
Kalamazoo Mall and the training sessions at the Public Media Network offices on
October 10 and October 14. I also give permission for my child's likeness to be used for
promoting the "Telling Kalamazoo Community Race Story" project.








As a parent or guardian I agree with the above
As a parent of guardian I disagree with the above

The History Detectives is a program of the Southwest Michigan Black Heritage Society.
The "Telling the Kalamazoo Community Race Story" is a collaboration between
the Society and Western Michigan University's School of Communication journalism program
and is funded by the Kalamazoo Community Foundation.