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Parent/Guardian Contact Form 2021-2022
Parent(s)/Guardian(s) please complete this form. Whenever a section doesn't apply, please just state N/A.
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* Indicates required question
Student name
*
Your answer
Parent/Guardian 1 Name
*
Your answer
Parent/Guardian 1 email address
*
Your answer
Parent/Guardian 1 cell phone #
*
Your answer
Parent/Guardian 1 address
*
Your answer
Parent/Guardian 2 Name
*
Your answer
Parent/Guardian 2 email address
*
Your answer
Parent/Guardian 2 cell phone #
*
Your answer
Parent/Guardian 2 address
*
Your answer
Emergency Contact Name, Phone Number, and relationship to student other than parent/guardian 1 & 2.
*
Your answer
Do we have your permission to use photos of your student from class for church related use on worship service screens, website, and/or social media?
*
Yes
No
Does your student have any special needs, dietary restrictions, allergies, or any other things we need to be aware of to ensure a good and safe experience in Confirmation?
*
Your answer
Does your student need any special accommodations to be made for class whether in class or with the documents provided?
*
Your answer
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