STiLE Student Information Form

Student Information Form

Liability, Medication and Photo Release

Students must have a Student Information Form (Liability, Medication and Photo Release) on file to participate in classes. This form provides us information so we can assess your needs to help you reach your goals, to provide the contact information of your support team, and to gain your permission to use photos or videos of you in our promotional material. If you have already filled this form out when participating in a previous STiLE class, you do not need to fill it out again. 

Please answer all the questions, get help if you need it.

Fill out the form below, or click Student Information Form 2018, fill out and print, then send to: KindTree Productions, Inc “STiLE”
P O Box 40847
Eugene, OR 97404

Fill out my online form.

For assistance contact KindTree – Autism Rocks at 541-780-6950