4th Grade Participation Form (Class of 2029)

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The goal of the 4th Grade Planning Committee is to include all 4th grade students in the activities/projects that we organize this year. In order to do this, we need authorization and information from YOU. Please complete the following form for each 4th Grade student that you have at Ben-Hem this year.

Email *

Your Name (Parent/Guardian) *

Student's First Name *

Student's Last Name *

Class T-Shirt Sizing *

Youth - XS

Youth - S

Youth - M

Youth - L

Youth - XL

Adult - XS

Adult - S

Adult - M

Other:

Yearbook Photo Release *

Do you give permission to the Ben-Hem PTO to use pictures in this year's yearbook in which your student appears? Photos will include student headshots and baby photos (if submitted) and candid photos with 2 or more students in them.

Yes, I give permission for my student's picture to be used in this year's (2020-2021) yearbook.

No, I do not give permission for my student's picture to appear in this year's (2020-2021) yearbook.

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