Empowered Learning – Little MountainPlease complete registration PRIOR to Photo Day. IMPORTANT – by filling out this form you are giving Beth Ellis Photography permission to photograph your child. You also understand and agree to the Terms and Conditions.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Parents Name *FirstLastEmail *Phone *Your CHILD'S NAME that attends the Center *FirstLastDo you have any special requirements/information eg glasses on/off, clothes in bag for photos etc?Do you give Permission for Beth Ellis Photography to use images of your child on social media/website/promotional or print material? (No identifying information will be included) *Yes I give PermissionNo thank youI agree and give permission for Beth Ellis Photography to Photography my child *Yes you the included) I have read and agree to the Terms & Conditions *YesSignature Clear Signature Submit
