Paint It Out
Consent, Enrollment & Emergency Medical Release Portal
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Instructor Authentication
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Instructor Records Portal
| Student | Age / DOB | Parent / Contact | Allergies & Medical Alert | Permissions | Actions |
|---|---|---|---|---|---|
| Retrieving safe cloud records... | |||||
Paint It Out
Official Student Consent & Emergency Medical File
Original Electronic Copy
Date: [Date]
1. Student & Program Registry
Student Name: [Name]
Date of Birth: [DOB]
Parent/Guardian: [Parent]
Program Name: [Program]
Phone Number: [Phone]
Email Address: [Email]
Instructor: Paint It Out Staff
2. Photo & Video Consent Form
I grant permission for my child to be photographed, videotaped, and/or recorded during participation in program activities. I understand that these photographs, videos, and recordings may be used for educational purposes, classroom displays, program documentation, marketing/promotional materials, social media platforms, website content, and printed materials.
Consent Preference Select: [Yes/No]
Legal Digital Signature:
Signed By: [Name]
Date Signed: [Date]
3. Program Participation Release
I give permission for my child to participate in art and educational activities conducted by Paint It Out. I understand that activities may include art projects, group discussions, social-emotional learning activities, creative movement, and educational games.
Legal Digital Signature:
Signed By: [Name]
Date Signed: [Date]
4. Emergency Contact & Medical Profile
Emergency Backup: [Name]
Relationship: [Rel]
Phone: [Phone]
Allergies: [Allergies]
Medical Concerns/Conditions: [Concerns]
Medications: [Meds]
5. Artwork Release Permission
I grant permission for my child's artwork to be displayed, reproduced, or shared for educational, promotional, or program-related purposes. My child's first name only may be used in connection with the artwork.
Consent Preference Select: [Yes/No]
Legal Digital Signature:
Signed By: [Name]
Date Signed: [Date]
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Providing enriching arts instruction and positive creative learning modules.