Consent of Parent/Legal Guardian CONSENT OF PARENT/LEGAL GUARDIAN School Year: 2025-2026 Student Name * Date of Birth * Grade * SCHOOL ACTIVITY CONSENT I give Shiprock Associated Schools, Inc.'s sponsors and/or residential staff my consent and permission to take my child off campus for school functions and overnight field trips. I fully understand that my child is to abide by all rules and regulations governing field trip conduct. I also understand that if it is determined that my child is in violation of the conduct standards, appropriate action will be taken, including sending him/her back home at my expense. I hereby release and discharge Shiprock Associated Schools, Inc., employees, agents, and officers from all liability arising out of these field trips, activities, and functions. I give consent for all of the above services. Please check the box of your choice below: Consent * Agree Disagree PHOTO RELEASE/MEDIA RELEASE Shiprock Associated Schools, Inc. gives permission to use my child's picture in all school publications, including online publications. In compliance with the Child Online Protection Act, Shiprock Associated Schools, Inc. will not publish my child's name in any publication without my consent. These photos may be published through our school website, social media pages, school news bulletins, our SASI marque sign and ads. With this, SASI will seek your consent in allowing SASI to publish photos or videos which may involve your child to the said platforms. Please do provide your response by selecting your choice below: * I hereby allow (Agree) I Do Not Allow (Disagree) Parent/Guardian Name * Relationship To Student * Signature * signature keyboard Clear Date * Submit If you are human, leave this field blank.