Hello Ridgecrest Families!

As you may know, we are assembling fundraising efforts for our children's teacher, Sr. George Glickley, and his family, for their daughter's medical needs. We are collectively using our voices, our online presence and social media reach, to raise awareness and funds for this family. We would like to set up a website to make donations both easy for the giver and simple to share online.

We would love for Sr. Glickley's and Ms. Vega's class photo to be featured on this website, since this will primarily be an outreach to these students' parents, families and friends. But we hope it goes viral. :)

Parents, would you kindly give us permission to photograph your child at school and use that photo for Sr. Glickley's fundraising efforts?

Please complete the form below in its entirety and press SUBMIT, at your earliest convenience. Your child will not be photographed without your signed permission. Also, we will not hold any judgement or hard feelings if you do not wish your child to participate. This fundraiser is entirely optional and is not sponsored by Ridgecrest Elementary School in any way. We are simply a group of parents who feel led to help however we can, even if in some small way.

As an expression of our thanks, each parent will receive a link to download a digital copy of this class photo. Please be sure to leave us your email address for this!

Student Name(s)

First Name

Last Name

Parent / Guardian Name

First Name

Last Name

Parent / Guardian Name

First Name

Last Name

Email Address

Secondary Email Address (if applicable)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PHOTOGRAPH AGREEMENT:

I/We agree as parents/guardians do freely consent for my/our above-named child/children to be photographed by Stacey Woods on the property of Ridgecrest Elementary School for the purpose of promoting and raising funds for Sr. George Glickley's family's medical needs. I/We do agree to release and hold harmless Stacey Woods, Friends of Cora, and Friends of Glickleys of any and all liability that may arise from use of this photograph of my/our child/children. I/We understand that this photograph is fully intended to be posted online for fundraising efforts, and that the fundraising website and this photograph may be shared online, including but not limited to various platforms and social media. Stacey Woods will not use this photograph for personal or commercial purposes, except for the fundraising purposes stated above.

Yes, I/we agree and give our consent.

No, I/we do NOT agree or give our consent. Please do not photograph my/our child/children.

Parent / Guardian Digital Signature

This shall serve as my digital signature.

First Name

Last Name

Parent / Guardian Digital Signature

This shall serve as my digital signature.

First Name

Last Name

Special Instructions (optional)

That's it!! Thank you so very much for helping the Glickley family in this way. You are awesome, and we are so grateful!