Parent/Guardian Release
This form is used to update student releases with Pathways Charter School throughout the school-year.

Please read through the releases carefully and update them as necessary.

You must sign (type) your name at the end of the form indicating that you understand you are updating your student's releases with Pathways Charter School.

If you have more than one student enrolled at Pathways, please complete a separate form for each.

Upon receipt of this form, staff will update student records and this form will be kept as a receipt.

If at any time, you wish to make additional changes, simply fill out another form.
Student First and Last Name *
Your answer
Parent/Guardian First and Last Name *
Your answer
Parent/Guardian Email *
Your answer
Student Release Updates
Please read through each release and update any you need to change. For any releases or permissions that "yes" or "no" is not checked, the existing permissions from regonline will continue to apply.
Yes
No
Permission for school directory information to be made available to institution of higher learning.
Permission for student to sign in and out of school.
Student allowed to use computer at school.
Permission to include student information in school directory.
Permission to use work produced by this student for school purposes.
Permission to use student audio/video for school purposes.
Permission to text student.
Permission to use student's name in school publications (Yearbook, newsletter, newspaper, website, etc.)
Allow student access to Google Apps for Education (G:Suite).
Permission for school directory information to be made available to military recruiters.
Parent agrees to Open Campus Policy (High School Only)
Student allowed to access internet at school.
Permission to use pictures of this student for school purposes.
Permission to use pictures of the student in Yearbook ONLY.
Parent wishes to opt-out of Cal-Grant Submissions.
Permission to text Parent/Guardian.
Permission for the school to use student pictures, audio, video, and student work on social media.
Permission for school staff to give my student a ride to/from school or school activities
Permission for school staff to meet alone with my student with the door closed at a Pathways facility
Permission for school staff to meet alone with my student in my home
Permission for school staff to meet my student (either alone or with other students) in the teacher's home
Permission for school staff to exchange emails, text messages, or have other communication with my student on non-school-related topics
By signing (typing) my name below, I, the above listed Parent/Guardian, understand that I am updating my student's releases with Pathways Charter School and these changes will be reflected in their Student Information System. (Parent/Guardian must sign/type name below). *
Your answer
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