EARLY CHILDHOOD CENTER RELEASE FORM
PHOTO RELEASE FORM
Child’s Name: _______________________________________________________
____Yes, you have my permission to use photos or video that may contain my child’s
image for ECC promotional purposes. Your child’s name will not be used.
Parent/Guardian: ______________________________ Date: ______________________
_______________________ (parent/guardian) for ______________________ (child) agrees and does hereby release from liability and to indemnify and hold harmless Congregation Albert, and any of its employees or agents representing or related to Congregation Albert. This release is for any and all liability for personal injuries (including death) and property losses or damage occasioned by, or in connection with any activity or accommodations with or for Congregation Albert. The undersigned further agrees to abide by all the rules and regulations promulgated by Congregation Albert and/or its affiliate groups.
Name of Minor: __________________________________________________________
Name of Parent/Guardian: __________________________________________________
Signature of Parent/Guardian: ______________________________Date: ____________
OFF-SITE PERMISSION SLIP
My child__________________________ has my permission to attend field trips sponsored by Congregation Albert. Parent/Guardian will be notified prior to field trips.
I understand the Child Care Provider will assure that all
belt laws are followed.
Parent/Guardian Signature Date ________________________________________________________________________
SUNSCREEN RELEASE FORM
I give _____________________________ permission to apply sunscreen on my child as
Parent Signature:__________________________________ Date:___________________