VCVax KIDS EDITION
Privacy Notice

This is to allow the City Government of Valenzuela to collect, use, disclose, and process my child's personal information set out in its official forms and/or otherwise provided by me in the course of profiling.

The data given would be in strict confidentiality and will only be used for profiling purposes.

This form is intended for parents or guardians with children between the ages of 5 and 11.

KINDLY FILL OUT ALL THE INFORMATION NEEDED. WRITE N/A IF NOT APPLICABLE.

Sign in to Google to save your progress. Learn more
ARE YOU WILLING TO HAVE YOUR CHILD GET VACCINATED AGAINST COVID 19? *
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