Preschool/Childcare Release Form
Sign in to Google to save your progress. Learn more
Email *
Child's Name *
Today's Date *
MM
/
DD
/
YYYY
I hereby grant permission to St. John's School to use or publicly display my child's photograph, video image, or audio clip on the School's Website or in other school publications without further notice. I acknowledge the school's right to crop, edit, or treat the photograph video, or audio clip at its own discretion. I also understand that once my student's photograph, video image, or audio clip is published on our website, it can be downloaded by any computer user, on or off campus. Personal information, such as student's full name, parent's name, addresses and telephone number will never be published. If a student's name is used with a photograph, video or audio clip, it will be in the form of first name and last initial. For example, Jane Doe may be listed as "Jane D.". Therefore, I hold harmless the members of the Board of Education, the officers, and employees from and against any and all claims and liabilities resulting from this publishing. 
Clear selection
I give St. John's Childcare permission to apply the following sunscreen to my child.
I give St. John's School and Childcare permission to walk my child around the block and to Duncan Woods and to participate in activities while attending St. John's childcare/school. If there is a field trip, a separate form will be sent home for parents to sign.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St John's Lutheran School. Report Abuse