Super School-Age Care Media & Picture Release
I give my permission for Gayleen Johnson (Super School-Age Care) to use any form of media to record my child(ren) ______________________________________________________________________________________________________________________________
For the sole purpose of instructional and/or promotional use for Super School-Age Care. I understand if it is for promotional use I will be notified of this and decide at that time if I want my child(ren’s) photo or recording used. This will be effective during the entire time that my child(ren) is in the care of Gayleen Johnson at Super School-Age Care.
Parent/Legal Guardian‘s Signature____________________________________
Date_________________________
Parent/Legal Guardian‘s Signature____________________________________
Date_________________________
Super School-Age Care Walks
I give my permission for my child(ren) ________________________________________________________________
to go on walks with Gayleen Johnson. This also gives Gayleen Johnson Permission to take my child(ren) to the school yard (next door to Super School-Age Care) to play. I understand that this will be effective during the entire time that my child(ren) is in the care of Gayleen Johnson at Super School-Age Care.
Parent/Legal Guardian‘s Signature____________________________________
Date_________________________
Parent/Legal Guardian‘s Signature____________________________________
Date_________________________
