Please enable JavaScript in your browser to complete this form. of No. Name This form is required to be completed for all children under the age of 18 who wish to participate in the Connect Course. Child's Name *FirstLastAge of Child *Parents/guardians are encouraged to attend the Connect Course along with their child. I/another parent/guardian will attend along with my child (it does not need to be same parent/guardian each time)I am unable to attendI believe my child would be more comfortable without our attendanceName of parent/guardian attending Connect Course with Child *FirstLastName of 2nd parent/guardian attending Connect Course with Child (if applicable)FirstLastAfter completing the course, if the child decides to proceed to membership, they will be interviewed by 2 Elders. I/another parent/guardian would like to attend the interview along with my childI believe my child would be more comfrotable without our attendanceOtherI give permission for my child to participate in the Connect Course and be interviewed by 2 Elders should they decide to proceed with membership. I understand I will be contacted by a member of the WPCBC pastoral staff to discuss my child's membership before the interview occurs. Parent/Guardian's Signature * Clear Signature Parent/Guardian's Name *FirstLastParent/Guardian's Email *Parent/Guardian's Phone No. *Date *Submit