Email/ 电子邮件
Have you applied to Private School Before?/ 您之前申请过私立学校吗？ Yes/ 是的
No/ 不
Child's Legal First and Last Name (学员法定姓名）
Child's/Children's Date Of Birth/ 孩子的出生日期
Medications, Allergies, or Medical Impairments（ 有无药物，过敏注意事项）
Address（家庭具体住址）
What School Does Your Child Currently Attend?/ 您的孩子目前在哪所学校就读？
Parent 1 - First and Last Name（家长姓名）
Parent 2 - First and Last Name（家长姓名）
Emergency Contact - Phone Numbers（紧急联系 - 电话号码）
CONTACT CONSENT: I grant consent to Howell Academics contacting me by SMS, Call, or Email to respond to my above inquiry on services and for future marketing messages and offers
MEDIA CONSENT: I grant consent for the documentation of my child's activities through the capture of photos and videos during class sessions as part of their enrollment in Howell Academics Programs. This may include the recording of my child's complete facial features, either individually or alongside peers, as well as specific body segments such as hands, arms, back, or legs. I understand that the captured content may be utilized in social media, advertisements, or local posts for Howell Academics. I acknowledge my responsibility to make a specific request if I do not agree with this consent.
OUTDOOR CONSENT: I grant permission for my child to participate in local outings and outdoor learning organized by Howell Academics, including visits to the park. I understand that adequate supervision and safety measures will be maintained. I acknowledge and understand the potential risks, of releasing Howell Academics, its staff, and its representatives from liability, except for instances of gross negligence or willful misconduct. I also affirm my responsibility for ensuring my child is prepared for outings and understands safety guidelines.
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