Student Consent Form
Please fill out the consent form below.
Student Name
First Name
Last Name
Student Email
example@example.com
Student Phone Number
Please enter a valid phone number.
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Medical Conditions (If Any)
Consent
I give permission for my child/student to be transported by school to and from the program/activity location.
I give permission for photographs or videos of my child/student to be taken during the program/activity for promotional or educational purposes.
I understand that school will take reasonable precautions to ensure the safety of participants. In the event of any accident or injury, I release school and its staff from any liability.
I have read and understood the details of the program/activity, including any associated risks. I agree to allow my child/student to participate, and I acknowledge the terms and conditions outlined in this consent form.
Date
-
Month
-
Day
Year
Date
Parent/Guardian Signature
Submit
Should be Empty: