KIDDIE KONNECTION 2707 Muscatine Ave. Iowa City, Iowa 52240
TRAVEL AND PICTURE AUTHORIZATION
I hereby do/do not (circle one) give permission for my child ___________________ _______________________to leave Kiddie Konnection for field trips in the Kiddie Konnection Van or public transportation to special places. I understand I will be notified before each such activity. Signature of Parent/Guardian_____________________________________________ Date___________________
I hereby do/do not (circle one) give permission for my child _____________________ _______________________to be photographed by the center in newspapers or other media for the purpose of publicity or advertisements.
Signature of Parent / Guardian____________________________________________ Date____________________