Parent's Name *

First Name

Last Name

Parent's Cel Phone *

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Student's Name *

First Name

Last Name

Student Date of Birth *

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DD

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Grade Level for 22-23 School Year *

Pre K 1

Pre K 2

Pre K3

Pre K 4

Kindergarten

Grade 1

Grade 2

Grade 3

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Grade 6 +

Photo Release

I hereby authorize the staff and personnel of Smart E. Pants Academy to take/use still photographs, digital photographs, motion pictures, television transmission, and/or videotaped recordings (hereinafter “recordings”) of me, my children, or my family members for educational, research, documentary, and public relations purposes. Any such recordings may reveal your identity through image itself without any compensation to you, your children, or family members. Any and all recordings taken of you, your children, or family members shall be the sole property of Smart E. Pants Academy. With regard to the use of any recordings taken of you, your children, or family members, you hereby waive any and all present and future claims you may have against Smart E. Pants Academy, their staff, employees, agents, affiliates, and Board members.

By clicking on the button, I agree to the terms of the Photo Release.