Child's Information 2019-2020

Info Update

2019/20

Thanks for keeping your child's information up to date. Information received is for the purpose of serving your child while in the care of Grace Chapel. If this is your first time providing this information for your child, please provide us with as much information as possible. If you have provided this information in previous years and your contact information remains the same, you only need to update any changes AND submit the form in order to consent to the participation of your child in programs. Please see the end of this form for instructions.

For those with more than one child please click on the blue button "Add Another Person" at the end of this form to add the next child.

Child's info

First Name

Last Name

Date of Birth

School Grade

Allergies

Please enter below the Email address and phone number that you would like us to use to contact you about your child.

Email Address:

Phone Number

Is there anything else you would like us to know about your child?

Grace Chapel is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to ensure they are enrolled in the age appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities for your child and family. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Grace Chapel to limit the information collected, or to view your child's information, please contact us.

By submitting this form, I declare that I have read, understood and agree with above and sign it to cover all Children and Family Ministry programs and activities for the proram year effective as stated below:

This permission form is effective: September 1, 2019-September 1, 2020