Virtual Permission Form – Gilmer Christian Learning Center

Student Name *

First

Last

Grade *

Student's CLC Teacher *

Student's School Email *

Your student’s school email is how he/she will be added to Google Classroom and how the CLC teacher will correspond with them throughout the course of the semester/quarter.

I give my child permission to participate in CLC. *

I understand that my child may participate in virtual meetings with his/her CLC teacher and other virtual CLC students. *

The CLC uses Google Classrooms which includes Google Meets. Google Classroom records all Google Meets conducted between the CLC teachers and students. These classes are recorded, and the information is retained for the access of the CLC only. Student names, information, pictures, or any private information will not be shared without the consent of a parent or guardian. Meets are recorded automatically and for the safety and protection of our students, staff, and the ministry of the CLC.

I understand that my child will be using Google Apps to take part in online CLC. This includes, but not limited to, Google Classroom, Google Meets/Hangouts, Google Docs, Google Drive, and Google Calendar. *

In times past, many students have approached CLC staff to discuss personal matters. We at CLC are perfectly willing to discuss these matters with your student, but we want you to understand that none of the CLC staff are trained or licensed as counselors. Understanding this, I give permission for my student to voluntarily discuss personal matters with CLC staff if he or she has the desire to do so. *

Parent/Guardian Name *

First

Last

Parent/Guardian Phone Number *

Parent/Guardian Email *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Signature *

Clear Signature

Date *

Message