2017-18 Richmond Park Youth Waiver
For Grade 7 - 12 students.
First and Last Name(s) of child(ren) participating in Richmond Park youth. *
Your answer
Parent(s) or Guardian(s) First and Last Name *
Your answer
Parent(s) or Guardian(s) Address *
Your answer
Parent(s) or Guardian(s) email address *
Your answer
Best phone number to reach you. *
Your answer
Secondary phone number (optional).
Your answer
Family medical number (6 digits). *
Your answer
Please provide any relevant information about medical history, allergies, or special needs.
Your answer
Please check off that you have read and are aware of this year's possible youth activities. *
Required
Please type your first and last name below indicating that you understand there are risks that go along with the activities above and that you release Richmond Park Church from being held liable if your child(ren) is injured while participating in the activities. *
Your answer
Do I have your permission to video or take pictures of your child(ren) during youth activities? Pictures and videos will only be used within the church and will not be shared online other than in youth emails to those on the youth distribution list. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service