Permission Form
Please fill in the form below.
Parent's Full Name
*
First
Last
Parent's Full Name
First
Last
Child's Full Name
*
First
Last
Child's Full Name
First
Last
Child's Full Name
First
Last
Child's Full Name
First
Last
Child's Full Name
First
Last
Child's Full Name
First
Last
Parent's Phone Number
*
-
Area Code
Phone Number
Please check the box (es) to show that you agree to the following. If you do not agree, please leave box unmarked.
*
I give permission for my child to be taken from school grounds for Educational visits within the local area. (i.e. field trips, trips to the park)
I give permission for my child to participate in the pen pal program (if you agree to the pen pal program, please enter below - a current mailing address for your child (Ren) and age/grade of your students.
I give permission for my child to eat STORE BOUGHT food, that other parents bring in, when prior notification is given.
I give permission for my child’s data to be shared, if transferring to another School.
I give permission for my child to eat HOME MADE food, that other parents bring in, when prior notification is given.
I DO NOT give permission for my child(ren) to participate in either of the options above!
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age/grade level of child (ren)
*
At Rising Stars Private School, we will occasionally, take photograph of the classroom environment, students, on field trips, etc. The pictures that we take can be shared on our social media pages, blog, website, and occasionally included in the e-mail newsletter that will be sent out to parents. Please let us know your preference as we respect your and your child (ren) privacy.
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I agree to my child being photographed to be used for internal school related items only (to post in classroom or in student folder), BUT NOT to be shared publicly on sites that are related to Rising Stars Private School.
I agree to my child being photographed AND for pictures to be shared publicly, on sites that are related to Rising Stars Private School only. (See above)
I DO NOT agree to my child being photographed and/or for pictures to be shared publicly, on sites that are related to Rising Stars Private School at all.
Please sign, acknowledging that you have reviewed and received a digital copy of the school's policy agreement.
*
Submit Form
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