Angel League

Child's Name Child's Name First Last
Birthdate Birthdate / MM / DD YYYY
Mother's Name Mother's Name First Last
Father's Name Father's Name First Last
Best Number To Call or Text Best Number To Call or Text - ### - ### ####
Secondary Number Secondary Number - ### - ### ####
Primary Email
Address (Mailing) Address (Mailing)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
School Attending & Grade Level
Picture (Selfie of parent(s) and child)

Attach Files

Images must be jpg, jpeg, png, or gif
Web Site
Web Site
Web Site
Type the letters you see in the image below.