Registration for Saturday Intramural - Drama, Speech, and Debate
By filling out this form, you are giving consent for your 6th - 8th grade student to participate in the Saturday Intramural Drama, Speech, and Debate program. This program is at Southeast High School on 2930 S, 37th Street and runs from 9:00 am to 12:30 pm. The program will begin on Saturday, January 12, 2019 and will end with performances on Saturday, February 23, 2019. More information will be sent via email to the address you provide.
Student Last Name *
Your answer
Student First Name *
Your answer
Student ID number
Your answer
Grade *
School *
Speech/Drama or English Teacher's Name
Your answer
Street address *
Your answer
City, State and Zip code *
Your answer
Parent/Guardian Information
Please provide at least one phone number that someone can be reached at during the session time. (9:00-12:30)
Parent/Guardians Name/Names *
Your answer
Parent/Guardian Home phone
Your answer
Parent/Guardian Cell phone
Your answer
Parent/Guardian Cell phone
Your answer
Parent/Guardian Email
Your answer
Parent/Guardian Email
Your answer
PHOTOGRAPH/VIDEO/AUDIO CONSENT AND RELEASE
I grant permission for my child to be photographed, videotaped, audiotaped, or recorded by any other means while participating in class or school activities or events, consent to and waive any privacy rights with regard to the display of such photographs or recordings in presentations, publications, websites, television programming and any other means.

I understand that Lincoln Public Schools owns the rights to such materials and waive any rights with regard to such photographs or recordings or to the broadcast, sale or display of such photographs or recordings.

This includes my child’s class picture.

I have read and understand this consent. Below is my consent/non-consent. Please check one: *
Submit
Never submit passwords through Google Forms.
This form was created inside of Lincoln Public Schools. Report Abuse - Terms of Service