Authorized Adult Form

indicates a required answer

1. *	I am an authorized adult for (type the names of the children you are an authorized adult for, this must match our registration records):

2. *

I have read and agree with the Statement of Faith.

(1 required)

Agree

3. *

(1 required)

Agree

4. *

I have read and agree with the Policies and Procedures.

(1 required)

Agree

5.	Email Address

6. *	Phone Number

7. *

Preferred contact method

Email		Phone Call
Text Message

8. *	By typing my name, I agree all of the above information is accurate. I understand I must be authorized by legal guardians to act as a substitute adult.
	By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Paradise Christian Homeschoolers