Activity Waiver Form 2017-2018
Agreement Coverage: All First Alliance Church activities in various locations from 9/1/2017 to 9/30/2018

This form is required because it gives us the information we need to best serve your family. We want your children to be safe and secure, and we want to know how to get in touch with you. We recognize and respect the privilege of caring for your kids!

Email address *
Parent Contact Information
Parent(s) or Guardian(s) *
Your answer
Address Line 1 *
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
What kind of phone number did you list above? *
What is the best way to electronically contact you? *
With which congregation is your family most associated? *
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