2023-2024 Family Consent Form

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2023-2024 Family Consent Form

PLEASE COMPLETE ONE PER FAMILY

Email *

I GIVE SAINT LUKE ACADEMY PERMISSION TO SHARE OUR FAMILY INFORMATION ONLY WITHIN THE SCHOOL COMMUNITY:

Address: *

Email: *

Cell Phone #: *

PHOTO/IMAGE CONSENT:

I/We give permission to Saint Luke Academy to use my child’s photograph or photographic image in official school business, including the Academy website, social media postings, newsletters, banners, brochures and other marketing materials. Under no circumstances will the Academy release any personally identifiable information with such images. It is agreed that my child’s image shall in no way be used in any other form than for official Academy activities. This release contains the entire agreement between parties. If you wish to rescind or amend this consent at any time, email Kim Froning at kfroning@stlukechicago.org

STUDENT #1 NAME: *

STUDENT #2 NAME:

PARENT NAME: *

PARENT SIGNATURE: By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.: *

Send me a copy of my responses.

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