Parental Consent Form

Parental Consent Form 2017-07-04T18:43:43+00:00

Family/Child Counseling

Child counseling is assisting children who have a host of difficulties to understand their feelings, change their behaviors and be able to work with their parents in the context of the love and tenderness of Christ.

Parental Consent Form

  • I am the parent or legal guardian of the minor child whose name appears below. I have custody of my child and am under no court order which would prevent me from seeking counsel on my child’s behalf.

    I have read and agree to be bound by the terms in the “Biblical Counseling of AZ services” ministry form attached hereto and incorporated by reference herein. I understand that all counseling provided my child will be based on biblical principles which may or may not be in accordance with modern psychological standards. By requesting counsel from Biblical Counseling of AZ, I intend to exercise my fundamental right to instruct my child in the principles of the Christian faith.

    By affixing my signature below, I give Biblical Counseling of AZ permission to counsel my child.

    By checking this box and typing my name below, I am electronically signing my application.