Parent/Guardian Form

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Student First Name *

Student Last Name *

Class *

Please select which class(es) your student is currently taking with Mrs. Stivers.

Marketing Business Enterprise

Financial Planning

Survey of Business

Required

Parent First Name *

Parent Last Name *

I, the parent, have read and understand the classroom rules and procedures. *

By checking yes, you are verifying that you, the parent, have read and understand the classroom rules and procedures found in the course syllabus.

Yes

Required

Does your child have access to internet outside of school? *

Yes

Have you signed up for Remind notifications for you child's class(es) with Mrs. Stivers? *

Reminders relating to class projects, exams, etc. will be sent out via Remind.

Yes

Would you like to receive email updates from Google Classroom about what your child is doing in class? (If yes, the email listed below will be the one used to sign you up.)

Yes

Clear selection

Parent Phone Number *

Please indicate what phone number you would like me to use to contact you.

Parent Email Address *

Please indicate what email address you would like me to use to contact you.

What is your preferred method of contact? *

Call

Text

Photo/Video Release *

I hereby agree and consent to allow the DCIII/IV, Financial Literacy/ Investments & Securities, Marketing, SBO, and Social Media & Comm. teacher, Ashli Stivers, at the Lonoke School District to take and make reproductions of photographs, audio and video recordings of my child or children without payment or any other consideration. I further agree and consent to the use, editing, alteration, copying or publication of any photographic, audio and/or video images, recordings and/or reproductions of my child’s/children’s likeness or voice by the DCIII/IV, Financial Literacy/ Investments & Securities, Marketing, SBO, and Social Media & Comm. teacher, Ashli Stivers, at the Lonoke School District. I further consent and agree that said photographs, images, recordings or reproductions are the sole property of Lonoke School District. This includes any legal claim or complaint for benefit, consideration or monies obtained as a result of the use of such photographs, images, recordings or reproductions of my child’s/children’s likeness or voice. Furthermore, without any claim or expectation of consideration, I, on behalf of myself, my child or children, and our heirs, representatives, executors, administrators, and any person acting on our behalf or on behalf of our estates, hereby consent and agree to hold harmless the Lonoke School District and any of its associates, employees or agents from any administrative, legal or ethical claim or complaint associated with the release or use of any photograph, audio or video of my child/children that is in the possession or control of the Lonoke School District and is used or released as part of the normal course of business of the Lonoke School District.

Yes

Submit

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