Name James Bermudez 

Grade 10th

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I hereby state that my child is in good health. In the event of an emergency, I give permission to the PFSJCS/SECC staff to treat my child. I waive all liability toward PFSJCS and SECC.  (Parent/guardian signature)

Paulo Freire Social Justice Charter School marketing staff may take pictures of your child to use in future promotions. Your signature below gives PFSJCS permission to use your child's picture in future promotions/social media/commercials.