The Cincinnati Homeschool Prom

Full Name

Email Address

Phone Number

Age

Emergency Contact

Relationship to you

Emergency Contact Phone Number

Please list any medical concerns or food allergies below

Social Media Agreement

I acknowledge

By continuing, you acknowledge that you have read and understand this policy. The Cincinnati Homeschool Prom will continue to share event photos on our website and social media platforms. ***While we cannot guarantee that you will not appear in the background of event photos, we will do our best to respect the wishes of anyone who prefers not to be featured on social media. Please choose one of the options below.

I give my permission for my photo to be used on social media

Yes
No