The permission form you completed with your Mentor Training Registration is good for one year. Thereafter, you must fill out the permission form below annually.
Pathways publishes stories and photos that showcase the accomplishments of children participating in our programs through various types of media, including newsletters, websites, slide presentations, promotional materials (brochures, flyers), and public media (newspapers, magazines). Your child may appear in photo images, videos, or be referred to in an article or caption. We will limit such usage in accordance with the boxes checked in the section below by you, the parent or legal guardian of the child (under age 18). You may notify Pathways in writing at any time to make changes.
By checking the boxes below, I grant Pathways for Exceptional Children permission to use the images of my child participating in their programs or events in the following media. Check all that apply:
My child has my permission to participate in the program(s) I have registered for during the dates, times, and facilities listed on the website. I understand that Montville Township and Pathways for Exceptional Children DO NOT have accident insurance.*
Signature of Parent, Guardian or student aged 18 or older without a legal guardian is required. Enter your full name below to sign.*