23-24 Back to School Form

Back to School Forms

2023-2024 School Year
General Consent Form for Child Photo, Video and Audio Use
I, Guaridan Name , hearby that any still or electronic image and/or audio recording in which I or my child may appear, may be used by Mary Queen of Saints Catholic Academy, Seton Catholic Schools or the Archdiocese of Milwaukee. I understand that these materials are being used for the promotion of MQSCA, Seton Catholic Schools or the Archdiocese of Milwaukee. The images and/or recordings may be used to support recruitment, fundraising, evangelization and other communications efforts. I release the staff and volunteers and I understand and agree that the use of my picture is not an invasion of privacy. Neither I, not anyone claiming to be speaking on my behalf, will later object to the Archdiocese's use of this/these photographs.
Parent or guardian*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Name:*

First NameLast Name
Add another Student?*

YesNo

Student Name:*

First NameLast Name
Add another Student?*

YesNo

Student Name:*

First NameLast Name
Add another Student?*

YesNo

Student Name:*

First NameLast Name
Add another Student?*

YesNo

Photo, Video, Audio Signature:
Parent or Guardian Signature*

Clear

Cell Phone Permission Slip

Electronic devices and cell phones including watches that can text or make calls(apple watch, google watch, etc)
Cell phones have become an important way for parents to keep in touch with their children to assure their safety. Parents are encouraged to not all their children to bring a cell phone to school. In case of an emergency, cancelation of after school activity, or to schedule pick up, students are required to use the phone in the school office. However, if you choose to allow your child to bring a cell phone or other device to school, the following rules will apply:
- A cell phone permission slip must be signed and on file in the school office.
- The cell phone must remain off and in the school office during school hours:
  - 7:15am-3:15pm
  - during any before or after school activities including camp
- Any use of a cell phone during school hours will result in immediate confiscation of the phone.
- IPODS, MP3 players, CD players and other electronic devices will not be allowed in school or on school grounds. Possession and use of these devices during school hours will result in confiscation.
- Inappropriate or repeated violations of these guidlines will result in further disciplinary actions.
Mary Queen of Saints is not responsible for the loss or damage of any phone or electronic equipment.
My child First Name* Last Name* in grade does does not* have permission to possess a cell phone or other electronic device in school.
Student Signature

Clear
Add another Student?*

YesNo

My child First Name* Last Name* in grade does does not* have permission to possess a cell phone or other electronic device in school.
Student Signature

Clear
Add another Student?*

YesNo

My child First Name* Last Name* in grade does does not* have permission to possess a cell phone or other electronic device in school.
Student Signature

Clear
Add another Student?*

YesNo

My child First Name* Last Name* in grade does does not* have permission to possess a cell phone or other electronic device in school.
Student Signature

Clear

Parent Signature

Clear

Permission for school pick up and walk home.

This section will add people to your child for them to be picked up and the ability to walk home from school. Each child at MQSCA will need a separate list to add to each child's teacher folder.
Students name:*

First NameLast Name
Students Grade:*
After school my child will typically get walk home be picked up*.
Student has permission to walk home from school.*

yesno
These addtional people also have permission to pick up my child from MQSCA for the 2023-2024 school year. Please include all that may or may not be used. We will ask for photo ID's and will not allow children to leave with people not on this list.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Parent or Guardian Signature

Clear
Add another Student?*

YesNo

Students name:*

First NameLast Name
Students Grade:*
After school my child will typically get walk home be picked up*.
Student has permission to walk home from school.*

yesno
These addtional people also have permission to pick up my child from MQSCA for the 2023-2024 school year. Please include all that may or may not be used. We will ask for photo ID's and will not allow children to leave with people not on this list.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Parent or Guardian Signature

Clear
Add another Student?*

YesNo

Students name:*

First NameLast Name
Students Grade:*
After school my child will typically get walk home be picked up*.
Student has permission to walk home from school.*

yesno
These addtional people also have permission to pick up my child from MQSCA for the 2023-2024 school year. Please include all that may or may not be used. We will ask for photo ID's and will not allow children to leave with people not on this list.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Parent or Guardian Signature

Clear
Add another Student?*

YesNo

Students name:*

First NameLast Name
Students Grade:*
After school my child will typically get walk home be picked up*.
Student has permission to walk home from school.*

yesno
These addtional people also have permission to pick up my child from MQSCA for the 2023-2024 school year. Please include all that may or may not be used. We will ask for photo ID's and will not allow children to leave with people not on this list.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number
Parent or Guardian Signature

Clear

Should be Empty:

Back to School Forms

General Consent Form for Child Photo, Video and Audio Use

Photo, Video, Audio Signature:

Cell Phone Permission Slip

Permission for school pick up and walk home.