CLCkids Release Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

CLCkids Release Form

Effective Dates: Day of Signing till December 31 2019
By signing this form, you agree to let your child participate in activities and events with CLC kids.
Contact Information: kim@communitylife.church

Sign in to Google to save your progress. Learn more

* Indicates required question

Childs Name *

Your answer

Childs Birthdate *

MM

/

DD

/

YYYY

Childs Phone # (if applicable) *

Your answer

Parent/Guardian Information

Parent/Guardian Name *

Your answer

Parent/Guardian Email *

Your answer

Parent/Guardian Phone # *

Your answer

Any Known Medical Issues We Should Be Made Aware Of? *

(Allergies, Seizures, Severe Headaches, Etc.)

Your answer

Next

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy