JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Chaplains For Our Youth Supporter
Complete this form to register your support for placing trained professional salaried Chaplains in our middle schools and high schools in Clark County.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your First Name
*
Your answer
Your Last Name
*
Your answer
Public School District in which you reside
Your answer
I commit to praying for this program to be successful and for many young people to be helped through the Chaplains.
Yes, I will pray!
I want to receive periodic email updates.
Send text alerts when urgent situations arise.
Here is my phone number.
Your answer
Other ways I can help make the program successful:
I wish to support this program financially
Other:
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report