parent permission


sign the permission form

1 Step 1

I give permission for my son/daughter

Student Name

to participate in the StruggleXchange leadership program. I give full permission for his/her photograph to be taken at any event, meeting, photo shoot or outing to be used for publicity purposes.

I, the [applicant, requestor, etc.] for this [type of form], warrant the truthfulness of the information provided in this application.

Electronic SignaturePlease type your First and Last Name
Dateof appointment
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