Has anyone in your family graduated from college? *
Emergency Contact Name *
Emergency Contact Phone Number *
Cameron University may take pictures and videotape the It’s MathE activities. These pictures will be used to promote the program and document program activities to our sponsors. In order that your child receive information on scholarships and other educational programs, it may also be necessary to share information about him/her with institutions throughout the state. Any sharing of information will be used to promote your child’s educational opportunities only. As parent/legal guardian of the below named student, I grant permission for Cameron University to use my child’s name, photo/video, and program participation information in any area designed for publicity/education purposes and hereby releases them of any responsibility or obligation. *
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