Annual Student Enrollment & Communication Preferences Form

Academic Year: 2026–2027 · Form ID: SCS-SMS-OPTIN

2194 Broad Street · Selma, AL 36701
www.selmacityschools.org · kristen.williams@selmacityschools.org

1. Student Information

Student Full Name:[ Student First and Last Name ]

Date of Birth / Grade:DOB: [ MM/DD/YYYY ] · Grade: [ e.g., 5th Grade ]

Assigned School:[ Selma City Schools facility ]

2. Parent / Guardian Contact Information

Parent/Guardian Name:[ Parent / Guardian Full Name ]

Primary Email:[ parent.email@example.com ]

Mobile Phone Number:(334) ___-____

3. Communication Preferences & Educational SMS Consent

Selma City Schools utilizes automated notification channels to deliver critical educational notices, IEP/504 Special Education meeting reminders, service updates, and urgent school alerts to parents and guardians.

SMS / Text Message Notification Opt-In (Optional)

YES, I agree to receive text messages (SMS/MMS) regarding my student's education, Special Education (IEP/504) updates, meeting schedules, and district notifications from Selma City Schools powered by Speddy.ai (Voice Venture AI) at the mobile phone number provided above.

Terms & Disclosures: Consent is optional and not required as a condition of student enrollment or school services. Message frequency varies based on student progress and meeting schedules (approx. 2–4 messages/month). Message and data rates may apply. You may opt out at any time by replying STOP to any text message. Reply HELP for assistance or email support@voiceventure.ai. For district questions, contact kristen.williams@selmacityschools.org. Review our Privacy Policy and SMS Terms.

4. Authorization & Signature

[ Digital or Handwritten Signature ]

Parent / Guardian Signature

[ Date Signed ]

Date