Donate
Studio Permission Wavier
Student Name
Student Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Allergies (food, medication, insects, Art Supplies, etc.)
Additional Persons Authorized to pick-up Child from Jump the Moon. (Children will Not be allowed to leave with any other person without sufficient permission from Parent or Guardian)
Additional Persons Authorized to pick-up Child from Jump the Moon. (Children will Not be allowed to leave with any other person without sufficient permission from Parent or Guardian)
First
Last
Name
Name
First
Last
Photos and Videos: I grant Jump the Moon permission to utilize group and individual Photos and images taken of Art created during Studio Activities & Events. For: Promotional use in advertising, Grant applications, Website, Social media, annual reports and Educational materials.