Corona-Norco Christian Released Time Education
PARENT PERMISSION FORM
For more information visit www.coronareleasedtime.org
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Email *
Student's Last Name *
Student's First Name *
Student's School *
Grade Level *
Student's Teacher *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Preferred Method of Communication *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Student's Home Address *
Does the student have any allergies or health issues we should know about? *
Student Allergies/Health
Student Behaviors
PHOTOGRAPH WAIVER

Corona-Norco Released Time Christian Education (CNRTCE) occasionally photographs  the students in the program.  Their pictures may be used in our annual newsletter, brochure, website or social media.  At times, the student's first names and comments may also be included.  If you agree to allow your child to be included in pictures, please do so by choosing "I agree".  Photographs will be used solely in the promotion of the Corona-Norco Released Time program.  *
EMERGENCY POLICY

In the event of an extreme campus emergency, and to ensure the safety of students, the CNRTCE bus may be driven to the nearest police/sheriff/fire station or the school's off-campus evacuation site.  When the campus has returned to normal, the School Office Staff will notify local authorities to determine student dismissal.  School Office Staff will direct students and parents.  Type your name below to show that you understand this safety policy. *
CONTAGIOUS WAIVER

CNRTCE plans to keep all students safe.  
By signing this agreement, I acknowledge the contagious nature of some illnesses, and voluntarily assume the risk that my child and I may be exposed to, or infected by an illness by attending and/or participating in the Corona-Norco Released Time Christian Education program.  I acknowledge that such exposure or infection may result in illness, disability or other issues related to my child's participation in the CNRTCE program.

I voluntarily and knowingly agree to assume all of the foregoing risks and accept sole responsibility with my child's attendance and/or participation in the CNRTCE program.  My child and I willingly agree to comply with the preventative measures and conditions for attendance to protect against the spread of contagious illnesses. 

On behalf of my child, I hereby release and forever discharge and hold harmless the Corona-Norco Released Time Christian Education program, Living Truth Christian Fellowship, the Corona-Norco Unified School District, and their volunteers, board members, or any other representative from all liability for illness or other issues related to my child's participation in the program. 

*Type your name below*
 *
PARENT/GUARDIAN CONSENT

By typing your name below and submitting this permission form, you agree that YOU ARE THE STUDENT'S LEGAL PARENT OR GUARDIAN and give permission for my child to be released from class for the Corona-Norco Christian Released Time program.

I am acknowledging  that my child will attend the program beginning the week of October 17th and ending the week of April 30th.

I am consenting that my child will be met in the school office and signed out and will be returned and signed into the school office by the Corona-Norco Released Time Christian Education volunteers. 

My child will be walked to the nearby mobile classroom bus in front, or near, the school for this educational training.  The mobile classroom bus will be used as a mobile classroom only and no children will be driven on the bus. 

**In the event that the bus reaches capacity at your child's school, he/she will be placed on a waitlist.

I have read, understand, and completed the above information and by my permission, agree that my child may participate in the Corona-Norco Christian Released Time Education program. 

***Type Your Name Below***

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Contact us:
Phone - 951-735-2856
www.CoronaReleasedTime.org
A copy of your responses will be emailed to the address you provided.
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