GAP Academy for K-8 Learners

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Register Now for the GAP Academy for K-8 Learners!
Join us for engaging sessions designed to inspire and educate young minds.
JANUARY 2026 - JUNE 2026 Time: 8:00 AM – 12:00 PM - 2ND & 4TH Saturday of Each Month
Location: South Mountain Community College 7050 S. 24th St, Phoenix, AZ Building CB, Room 303

For question contact us at info.azgapprogram@gmail.com

Email *

Student's Full Name (Last Name, First Name) *

Current Grade in School *

Address (City, State, and Zip) *

Student Email Address (if applicable)

1. Parent/Guardian First and Last Name *

2. Parent/Guardian First and Last Name

Parent/Guardian Email Address *

Parent/Guardian Mobile Phone Number *

Greater Academic Performance (GAP) Academy
Photo/Media Release Form

Authorization and Release
By completing this form, I hereby authorize the Greater Academic Performance (GAP) Academy and those acting pursuant to its authority to:

Record my likeness and/or voice and/or that of my child on video, audio, photographic, digital, electronic, or any other medium.
Use my name and/or biographical material, and/or that of my child, in connection with such recordings.
Use, reproduce, exhibit, and/or distribute my/our name(s), biographical material(s), and recordings in any medium (e.g., print publications, video, internet, etc.) for promotional, advertising, educational, and/or lawful purposes.

I release and waive any claims or rights to compensation or ownership regarding such uses and understand that all such recordings shall remain the property of the Greater Academic Performance (GAP) Academy.

Please Select One: *

I GIVE permission for the Greater Academic Performance (GAP) Academy to record, use, and distribute the likeness, name, and/or biographical material of my child or myself as described above.

I DO NOT GIVE permission for the Greater Academic Performance (GAP) Academy to record, use, or distribute the likeness, name, and/or biographical material of my child or myself as described above.

Acknowledgement *

I certify that I am 18 years of age or older.

I am the parent/guardian of the above-named minor and authorize this release on their behalf.

Required

Electronic Acknowledgment: *

By typing my full name below, I acknowledge my selection above and agree to the terms stated in this release form.

Submit

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