Child's Information

Name*

Age*

Date of Birth*

Parent/Guardian Information

Name*

Relationship to Child*

Contact Phone*

Email Address*

Consent:
I, the undersigned, being the parent or legal guardian of the child named above, hereby give my consent for my child to download and use the Help4You.care app developed by Building Bridges Communications. I understand that this app is designed to enhance child safety through effective communication tools and resources.

Signature of Parent/Guardian

Signature*

Date*