Form cover
Page 1 of 1

Wrapped in Love 2026

How many students do you have?

Student 1

First Name

Last Name

Gender

Birthday

Bio/Foster

Gift Idea

Gift should not be an electronic item (such as game devices)

Notes... (such as health issues or anything we should be aware of)

Primary Contact

First Name

Last Name

Address

City

State

Zip

Phone

Email

Additional Contact Information (Optional)

Secondary contact(s) in case the above Primary contact is unavailable.

First Name

Last Name

Phone

Relation to Student(s)

First Name

Last Name

Phone

Relation to Student(s)

Waiver and Release Form

Untitled checkboxes field
Untitled checkboxes field

Printed Name

Date Signed

Signature

Signature

For any questions, email us at: pchristian@freedomchurchwc.com