Complete Parent Agreement

This form must be completed by a parent or legal guardian before a child participates in Kellie’s Table services.

Photo Permission *

Yes, I give permission for my child to appear in photos used by Kellie’s Table. No, I do not give permission for my child to appear in photos used by Kellie’s Table.

I confirm that I am the parent/legal guardian of the child listed above. I have read and agree to the Kellie’s Table Parent Agreement & Policies, including the section for the service requested.