Monster Minion Application & Parent Permission Slip
Child Name
*
First Name
Last Name
Child Name
First Name
Last Name
Parent Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Name of Class :
*
Seventeen Days (Sex Ed Curriculum for teens)
Adults Email
*
example@example.com
Adults Phone Number
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
You do acknowledge they may receive a gift cards,bus passes for participating in this class , that you can pick up when ready or we can send to them in the mail let us know what you prefer.
*
You Agree to Give permission for your child to engage in personal conversations with their peers and mentors about topics,current events and mental stress and healing ?Also giving permission for them to go on trips with Monster Moms for educational purposes .
Please Select
Yes
No
I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for assistance.
*
Submit
Should be Empty: