Parental Child and Photo Consent Form

Parent Information

Parent First name

Parent Last name

Parent Email

Parent Phone

Address

Child 1 Information

Child 1 Name

Child 1 Grade

Child 1 Birthday

Month

Day

Year

Child 2 Information

Child 2 Name

Child 2 Grade

Child 2 Birthday

Month

Day

Year

Child 3 Information

Child 3 Name

Child 3 Grade

Child 3 Birthday

Month

Day

Year

Child 4 Information

Child 4 Name

Child 4 Grade

Child 4 Birthday

Month

Day

Year

Emergency Contact Information

Emergency contact name

Emergency contact number

Additional Information

Additional Children (Name, Grade, Birthday-mm/dd/yy)

Please list any allergies of students

Consent Information

Photo Consent

I hereby give my consent to use my child(ren)'s photographs according to the terms & conditions.

I DO NOT give my consent to use my child(ren)'s photographs according to the terms & conditions

I hereby consent to the participation of my child(ren) in class(es)/events at Arise AZ. I understand I am allowing my child(ren) to participate at my own risk. To the best of my knowledge, the participant(s) are in good health & able to participate. I agree to the terms and conditions of these classes. By clicking this, I am consenting to signing the family contract for classes/lessons.

Class Contract Lesson Contract

Yearly Registration Consent

When signing up for a class/lesson, I agree to a yearly registration fee of $20 per child (This will be included in upcoming invoice)

Type full name as signature