Program Enrollment Form

Photo Release Form
I hereby grant permission to the jeniusLogic Foundation Inc. to use photographs and/or video of me and the student enrolled in their programs taken in publications, news releases, online, and in other communications related to the mission of the jeniusLogic Foundation Inc.
Student Name

First Name Last Name
Guardian Name

First Name Last Name
Sign Below

Clear

Release Form
I am the parent or legal guardian of the Participant. I have read this document, and I am signing it freely. I understand the legal consequences of signing this document, including (a) releasing the jeniusLogic Foundation Incorporated from all liability on my and the Participant’s behalf, (b) waiving my and the Participants’ right to sue the jeniusLogic Foundation Incorporated, (c) and assuming all risks of Participant’s participation in this Activity, including travel to and from the Activity (including air travel) or any events incidental to this Activity. I allow the Participant to participate in this Activity. I understand that I am responsible for the obligations and acts of the Participant as described in this document. I agree to be bound by the terms of this document.
Student Name

First Name Last Name
Guardian Name

First Name Last Name
Sign below

Clear
Should be Empty:

Program Enrollment