Consent for Biblical Counseling with a Minor

I, (insert name)

, the parent/legal guardian of the minor(s)

give my permission for Calvary Chapel West Houston Ministerial team to counsel my son(s) and/or daughter(s) at Calvary Chapel West Houston.

Parent/Guardian Sign (full legal name)

Date

Parent Email

This address will receive a confirmation email

Parent Contact Phone Number

Description

on-going

You will be contacted within 24-48 hours. Please fill out this form and click submit.