Photograph/Video Permission

PHOTOGRAPH VIDEO/PERMISSION

Choose Location *

Schoolhouse Learning Center will take photographs or videos of the children participating in our program from time to time. These may appear in various news releases, websites and other public materials (for example: brochures, coupons, documenting daily activities for assessment purposes, classroom purposes, trainings, and websites).

Parent's Name *

Parent's Email *

Parent's Phone *

I give Schoolhouse Learning Center permission to take photos or videos for the purposes listed above.
YesNo

I give Schoolhouse Learning Center permission to post my child's picture or video on the center's Facebook page.
YesNo

Child's Name *

D.O.B. *

PARENT'S SIGNATURE IS REQUIRED TO OFFICIATE THIS DOCUMENT
Parental or Guardian Signature *

Authorization Date *

FREE REGISTRATION at initial enrollment.