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