Name of Attendee Signature of Attendee Attendee’s Role (check one) Adult Designee Parent/Legal Guardian CE Student Other: Adult Designee Parent/Legal Guardian CE Student Other: Adult Designee Parent/Legal Guardian CE Student Other: Adult Designee Parent/Legal Guardian CE Student Other: Adult Designee Parent/Legal Guardian CE Student Other: Adult Designee Parent/Legal Guardian CE Student Other: Adult Designee Parent/Legal Guardian CE Student Other: Adult Designee Parent/Legal Guardian CE Student Other: Adult Designee Parent/Legal Guardian CE Student Other: I do not consent to the use of names, photographs, and/or video taken of the above listed participants in connection with this event in publications and marketing and promotional materials. my school’s
Name of Attendee Signature of Attendee Attendee’s Role (check one) Adult Designee CE Student Parent/Legal Guardian Other: Adult Designee CE Student Parent/Legal Guardian Other: Adult Designee CE Student Parent/Legal Guardian Other: Adult Designee CE Student Parent/Legal Guardian Other: Adult Designee CE Student Parent/Legal Guardian Other: Adult Designee CE Student Parent/Legal Guardian Other: Adult Designee CE Student Parent/Legal Guardian Other: Adult Designee CE Student Parent/Legal Guardian Other: Adult Designee CE Student Parent/Legal Guardian Other: I do not consent to the use of names, photographs, and/or video taken of the above listed participants in connection with this event in my school’s publications and marketing and promotional materials.
final_18-19_generic_sanctionedeventpermissionwaiverform_final__1_.docx