Disclaimer: I do not own Kuroko no Basket.


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SEIRIN HIGH SCHOOL
誠凛高校 —

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CLUB ACTIVITY AUTHORIZATION FORM

AUTHORIZATION REQUESTED BY:
Seirin High Journalism and Broadcasting Society

(Person in-charge: Asahi Mika; President; Year 2-C)

PARTICIPANTS INVOLVED:*
1. Seirin High Journalism and Broadcasting Society (Primary)
2. Seirin High Women's Volleyball Team (Primary)
3. Seirin High Men's Basketball Team (Secondary)
4. Seirin High Students (Secondary)
5. Families and associates of listed participants (Tertiary)

*Please underline:
ALL parties involved have/have not been notified of their participation.
ALL parties involved have/have not given voluntary consent to their participation.

SUMMARY OF ACTIVITY/ACTIVITIES INVOLVED:*
-Unobtrusive, non-disruptive and impartial documenting of the girls' volleyball team, within school grounds and outside (if necessary).
-Interviews with participants.
-Transcription of all film-recorded material to a written/typed journal.

*List is allowed to be non-exhaustive.

PURPOSE OF ACTIVITY:
-Submission piece to a journalism competition. (Please refer to attached letter.)

—DETAILS ON PAGE 2—

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ACTIVITY APPROVED

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AUTHORIZED BY:
Seirin High School Board and Management Staff

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