Program Application/Permission Form
Please complete and sign this short form to enroll your child in the HopeWave Workshop.
Parent/Guardian
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Telephone Number
Student's Name
*
First Name
Last Name
School Name
*
Do you authorize your child's participation in the First Hour Grief HopeWave group at {schoolName}?
Authorization Response
Yes
No
Add your signature here
Submit
Should be Empty: