First Name: Last Name: Date of Birth: Place of Birth: Birth Certificate Copy (pdf or jpg): City of Residence: Address: Photo: School: Father's Last Name: Father's First Name: Father's Phone Number: Father's Email: Mother's Last Name: Mother's First Name: Mother's Phone Number: First Term Report (pdf or jpg): Second Term Report (pdf or jpg): Medical History: YesNo If yes, please specify: Image Use Authorization: I, the undersigned , parent or legal guardian of , authorize the use of my child’s images for the “Miss Excellence Maths” event. Official website of Miss Excellence Maths Social media and other communication platforms Promotional materials and advertisements related to the event I acceptI refuse I understand that the images will be used solely for non-commercial purposes to promote this educational event, and that I can revoke this authorization at any time.
