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Wollaston Child Care Center Form
(W)
Relationship to child
Name
Address
Telephone Number (W)
Relationship to child
Name
Address
Telephone Number (W)
Relationship to child
(H)
(H)
(H)
(H)
(H)
(H)
(H)
(H)
I grant permission for my child to be photographed and my child’s image to be displayed within the
classroom.
Yes
No
I grant permission for my child’s image to be included in media such as the Wollaston Child Care Center
website, Facebook page, brochures, newspaper articles etc. I understand that my child’s full...
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