Prince of Peace Parental Consent Form 2019-2020

This document will serve as your child's consent form for all youth activities (at Prince of Peace or off-site) from September 2019 through August 2020. Please be as thorough as possible. If you have any questions, contact Jess Lweno, Youth Director.
 
 
 
 
Please select all that apply.
 
 
 
 
 
 
 
 
 
List the following information about your medical insurance:
 
 
 
 
 
List the following information about your child's health:
 
 
 
 
 
 
 
 
Permission and Signature

 
 

Description

This document will serve as your child's consent form for all youth activities (at Prince of Peace or off-site) from September 2019 through August 2020. Please be as thorough as possible. If you have any questions, contact Jess Lweno, Youth Director.