EM-Form-Parental Consent-Silver Lakes Aftercare

Parental Consent Form-Silver Lakes

*** Students (2nd - 5th Grade) Can Only Attend EM At Their School ***

*** A Parental Consent Form Is Needed For Each Student ***

*** Thursday Practices Begin February 17th ***

*** Spaces Are Limited ***

Select The Student's School:

Select Student's Grade:

Enter Student's Last Name:

Enter Student's First Name:

Student T-Shirt Size:

Student Sweat Pants Size:

Enter Guardian 1's Last Name:

Enter Guardian 1's First Name:

Enter Guardian 1's Email Address:

Enter Guardian 1's Cellphone Number:

Media Terms:

I acknowledge that the student may be photographed or video recorded for the sole purpose of EM, VFBG, SE, and/or LWP promotional materials

Electronic Signature:

By checking this box, I acknowledge that I have read the terms listed above as well as the EM Terms of Agreement and agree to adhere to the terms

Enrichment Masters is provided by VF Business Group, Inc., WEECorp, and Son Extended, Inc.

Address: 6919 W. Broward Blvd. Ste. 263, Plantation, FL 33317; Phone: 954-641-8774