Language Exchange School Permission Form
Please complete this form to grant permission for your child to participate in the school language exchange program.
Student's Full Name
*
First Name
Last Name
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Student (Emergency Contact)
*
Language(s) Student Is Interested In Exchanging
Additional Notes or Special Considerations
Submit Permission
Should be Empty: