WyldLife - Information Form

Parent/Guardian Name

Parent Email

This address will receive a confirmation email

Parent Phone

Address

Student Name (first & last)

School

Current Grade

Student Phone Number (see below)

Anything else you'd like us to know? (If you have multiple middle schoolers, you can add their name/school/grade here!

WyldLife Parent Permission Form

We want to keep you and your child informed about Young Life/WyldLife activities. In order to do this, we are asking permission to collect and store your child’s information. This information will be accessed only by authorized Young Life staff and volunteers. Young Life does not sell, lease or rent the personal information of you or your child to others.

AFTER YOU SUBMIT THIS FORM, please take one more minute to fill out the WyldLife Parent Permission linked on the confirmation page. Thank you!!

I have read, and will complete the parent permission form

Yes No

WyldLife - Information Form

Description

Please Fix the Following