Parent Consent Form Please enable JavaScript in your browser to complete this form.Student name *FirstLastStudent Age *Parent/Guardian Name *FirstLastParent/Guardian Email *Parent/Guardian AddressParent/Guardian PhoneParent/Guardian Relationship *Please select the items for which you are giving consent: Publicity: I give my consent for my child(ren) to appear in photographs and/or videos publicizing Higher Orbit Foundation. I understand this material will be used for the sole purpose of promoting Higher Orbit activities for social awareness. I also understand that awareness is essential for a nonprofit organization such as Higher Orbit to mobilize financial and other support for its activities.Participation in Activities: I give my consent for my child(ren) to participate in the tutoring and mentoring services organized by the Higher Orbit Foundation. I understand that these activities will take place either through online classes or in-person at either Webb Middle School or a nearby Austin Public Library facility.Directory: I give my consent for my child(ren)’s information to be shared with other mentors and/or Higher Orbit Foundation officers for the sole purpose of providing optimum mentoring and other support services.Please share anything else that you would like Higher Orbit Foundation to knowConsent *By checking this box and entering my name below, I acknowledge that this authorization form shall remain on file and will be valid until revoked in writing by student’s parent or legal guardian.Name *FirstLastSubmit