Enrollment Application.pdf

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If my child need’s to be transported by an ambulance service please use

I understand all procedures and have given consent on all areas listed.
Parent Name

Parent Signature


Photograph / Video Consent



, give Roots & Wings consent to

photograph or videotape my child,


understand that these pictures and videos will not be used in
any other means than to show the growth, development and
the enjoyment that my child has at Roots & Wings Learning
Center. These pictures and videos will not be given to