Parent/Guardian Permission Form - Seattle CARES Mentoring Movement

Student Name*

First Last

School*

Parent/Guardian Name

First Last

Parent/Guardian Email*

Parent/Guardian Phone*

Consent*

By selecting the "Yes" checkbox you are signing this agreement electronically.

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.

Name

This field is for validation purposes and should be left unchanged.

The Rising Parent/Guardian Permission Form