St. Johns Reading Room, LLC

Parent/Guardian Consent for Text Message Communications

St. Johns Reading Room, LLC uses text messages to communicate with parents and guardians about educational services, appointments, scheduling, and customer support.

Please complete the following information and indicate whether you consent to receiving text messages from our business.

Parent/Guardian Information

Parent/Guardian Full Name: __________________________________

Student Name(s): ___________________________________________

Mobile Telephone Number: ___________________________________

Email Address: _____________________________________________

Text Message Consent

Please select the applicable option.

☐ YES — I consent to receive text messages.

By checking this box and signing below, I provide my express consent for St. Johns Reading Room, LLC to send text messages to the mobile telephone number listed above for the categories I have authorized, including appointment reminders, scheduling confirmations, changes or cancellations, attendance-related communications, service updates, and responses to my questions.

I understand that:

• Message frequency varies based on my interactions and service needs.

• Message and data rates may apply.

• I may withdraw my consent at any time by replying STOP to a text message or contacting St. Johns Reading Room directly.

• For assistance, I may reply HELP where supported or contact the business using the contact information provided on its website.

• Consent to receive text messages is not a condition of purchasing or receiving educational services.

• Our Privacy Policy and SMS/Text Messaging Terms and Conditions are available at https://www.stjohnsreadingroom.com.

☐ NO — I do not consent to receive text messages.

I understand that I may still receive information through other available communication methods, as appropriate.

Promotional Text Messages (Optional)

If St. Johns Reading Room offers promotional text messages, please use a separate, optional consent choice. Do not check this box on the customer's behalf.

☐ I separately consent to receive promotional text messages from St. Johns Reading Room, LLC, including announcements about programs, services, or special offers. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for assistance where supported. Consent is not a condition of purchasing or receiving educational services.

Acknowledgment and Signature

I confirm that the information above is accurate and that I am the subscriber or authorized user of the mobile number provided, or otherwise have authority to provide the number and give the consent indicated.

Parent/Guardian Signature: __________________________________

Printed Name: _____________________________________________

Date: _____________________________________________________

Business Representative (if applicable): _______________________

Date Consent Was Recorded: __________________________________

Administrative Use Only

• ☐ Consent documented

• ☐ Consent declined

• ☐ Consent withdrawn

• Date and method of consent: ________________________________

• Date and method of withdrawal, if applicable: ________________