After completing the form below you will be prompted to pay the registration fee of $80/ student.
Emergency Contact Information
Responsible adult to contact if parents cannot be reached:
List up to six people
Parent Release Form for Media Recording 2016-2017
as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, newspapers, videos, and digital images such as those on the Jackson Trail Christian School Web site. *