Parent/Guardian Consent

Name of Charis Resident

First Name

Last Name

Name of Parent/Guardian

First Name

Last Name

Email Address of Parent/Guardian

Phone of Parent/Guardian

(###)

###

####

Mailing Address of Parent/Guardian

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Preference

How would you like to be contacted?

Phone

Mail

Notification Preference

Option One: I want to know immediately, on the first transgression, when there is a financial issue with my daughter Option Two: I want to know after two warnings, from the first transgression, when there is a financial issue with my daughter Option Three: I want my daughter to be the one to tell me, her parent/guardian, about any financial issue she may experience throughout the year

Tell us if you, the parent/guardian of a HOC resident, would like to be informed about any financial issues your daughter might experience this year.