E3 Legacy Academy

Registration and Permission

Please complete this registration form to secure your student’s necessary academy permissions.

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Registration & Permission Form

Student Profile
Medical Details
Statements of Permission & Acknowledgment

Parents, please type your full legal name in each box below to confirm your agreement:

I, as parent or legal guardian, do hereby register the above-named child to participate in E3 Legacy Academy.

I, as parent or legal guardian, understand that the school reserves the right to insist on the immediate withdrawal of any student whose presence is considered detrimental either to the students' or to the school's best interest.

I, as parent or legal guardian, understand that any participation in sports activities or with playground equipment can involve the normal amount of physical danger, and that the school and church cannot and does not assume responsibility for injuries which may result therefrom. I will not hold them liable nor will I bring a suit against them.

I give my permission to render first aid treatment that is reasonably necessary.

I, as parent or legal guardian, hereby request that my child, named above, be allowed to ride in a vehicle to and from any events or any field trips that the E3 Legacy Academy may be involved in. I represent to E3 Legacy Academy and King of Glory Familia that such method of transportation is safe and reasonable and waive any requirements that the driver be bonded. I waive, release and discharge E3 Legacy Academy and King of Glory Familia, its employees, volunteers and any driver or vehicle owner from any claim, demand or cause of action arising out of the transportation of my child.

I, as parent or legal guardian, understand that E3 Legacy Academy does from time-to-time record images and audio of students and their families. I understand that these may include video recordings, photographs and audio recordings. I hereby give permission for E3 Legacy Academy to use the above-mentioned images and recordings of my child and my family to be stored digitally and used on our social media platforms.

Parent Contact Matrix

Mother's Details

Father's Details

Verification & Signature