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SunGate Educational Community Photo Release Form
This is a photo release form for both the seasonal newsletter for SunGate Educational Community and the SunGate Educational Community Website. If your feelings change at any time regarding your photo release choices, please resubmit this form.
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Photo Release – Sungate Newsletter
The Sungate newsletter is published a few times per calendar year. To get an idea of the photos used in the newsletter, see this
page
For the children listed in this section, I give permission for their photos to be printed in a seasonal newsletter for Sungate Cooperative.
*
Yes
No
Child#1 Name
*
Include Nicknames
Last
Child#1's Date of Birth
*
Month
Day
Year
Child#2 Name
Include Nicknames
Last
Child#2's Date of Birth
Month
Day
Year
Child#3 Name
Include Nicknames
Last
Child#3's Date of Birth
Month
Day
Year
Child#4 Name
Include Nicknames
Last
Child#4's Date of Birth
Month
Day
Year
If you are completing this form for more than 4 children, after submitting this form, please complete another form for additional children.
Photo Release – Sungate Cooperative Website
The Sungate website is the site you are currently accessing to complete this form. To get an idea of the photos used on the site, see the
photo gallery
For the children listed in this section, I give permission for their photos to be included on the Sungate Cooperative website.
*
Yes
No
Children in this section are the same as children listed in previous section
*
Yes
No
Child#1 Name
Include Nicknames
Last
Child#1's Date of Birth
Month
Day
Year
Child#2 Name
Include Nicknames
Last
Child#2's Date of Birth
Month
Day
Year
Child#3 Name
Include Nicknames
Last
Child#3's Date of Birth
Month
Day
Year
Child#4 Name
Include Nicknames
Last
Child#4's Date of Birth
Month
Day
Year
Parental Information
Parent#1 Name
*
Include Nicknames
Last
Parent#1 Email address
*
A copy of this form will be emailed to this address
Enter Email
Confirm Email
Parent#2 Name
Include Nicknames
Last
Parent#2 Email address
A copy of this form will be emailed to this address
Enter Email
Confirm Email
Consent
*
I agree that the person(s) completing this form is/are legally able to make decisions regarding this child.
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Name
This field is for validation purposes and should be left unchanged.
Reach Out For More
(484) 792 -1445
1193 Clover Mill Road, Chester Springs, PA 19425
SunGateProgram@gmail.com
SunGate Educational Community is a Pennsylvania State Nonprofit Corporation
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