The Rising program

The Rising Parent/Guardian Permission Form

"*" indicates required fields

Student Name*
MM slash DD slash YYYY
This field is hidden when viewing the form
School
Parent/Guardian Name
Consent*
By selecting the "Yes" checkbox you are signing this agreement electronically and giving permission for your child to participate in the Seattle CARES Mentoring and the Liberated Village programs.
Image Release*
I also give permission for a portion of my students recordings and or picture to beshared on social media or for promotional purposes.
This field is for validation purposes and should be left unchanged.