Get Set Learn
Release of Information Form
I, 
agree to attend all 16 classes of the Get Set Learn program. I also allow Project READ Literacy Network to release information to my caseworker and to contact my caseworker. I agree that my information can be used for the purposes of data collection but shall remain confidential.
Signature Date
I also agree to allow Project READ Literacy Network to use pictures taken of me and my child for promotional purposes only.
Yes 
No