SMS Consent Form
Last reviewed September 2, 2026
This is the printed form Rayusi Learning Center passes around at an in-person staff meeting so each service provider can agree or decline in writing, before any text messages are sent. Signed copies are kept on file.
Rayusi Learning Center (SEMFAS) would like to send you text messages at the mobile number you provide below, related to your work as a service provider — including texting in session notes and receiving reminders about required paperwork (like signing a SETSS form), from (315) 599-3080.
- Message frequency varies based on your own activity.
- Msg & data rates may apply.
- Reply STOP at any time to opt out, or HELP for help.
- Questions: info@semfas.org
Name:
Phone number:
Yes, I agree to receive these text messages.
No, I do not want to receive text messages.
Signature:
Date: