Child Consent Form

Fill out this form for your child who is under 18 to give consent to use our services.

Child Consent Form

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– Step 1 of 2

Child's Information

Name *

First

Last

Child's Birthday *

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Parent/Legal Guardian Info

Parent/Legal Guardian First and Last Name *

First

Last

Parent/Legal Guardian Contact Number *

SMS/Text Messaging *

• I would like to receive SMS/Texting messages from Children of The Light. You can unsubscribe by messaging the word “Stop” or “unsubscribe”, and the reason why. You can opt back in at any time with the word “start”
• I do not want to receive any SMS messages from Children of The Light. This will include, no conversations, no updates to inqueries, or updates to the website if any. However, you can always opt in by contacting us and letting us know.

Relationship to child *

I, permission listed

Contact Email for Parent/Legal Guardian *

Next

Consent & Agreement

I, the undersigned, am the parent/legal guardian of the child named above. I give my full consent for my child to participate, communicate, or message with Children of The Light, and to join the groups that are available, if given permission by the parent or guardian. *

• I Agree

Release Agreement

I hereby release, and give my child consent to participate in the activities/events specified above. If for any reason you no longer want your child to participate in the events/activities, please contact Children of The Light by one of the contact methods listed on the "Contact Us" page of this website. *

• I Agree

Parent/Legal Guardian Signature, (type name below in the box) *

Date Signed *

I Agree to the Privacy Policy and Terms of Service of this Website *

• I Agree

GDPR Agreement *

• I consent to having this website store my submitted information so they can respond to my inquiry.

By checking the box below, I agree that the information entered is valid and correct. *

• I Agree

Solve the equation for the captcha *

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Submit