Clergy Reference referal form

Clergy Reference Request Form

This form is used to confirm your familiy's involvement in a Christian church.

Please complete this form to ask your church clergy for a reference.

Parent(s) or Guardian(s) First Name *

Parent or Guardian Last name *

Child's name and grade (click '+' to add more children) *

Please enter the email address of the clergy member that will fill in this form for you.
When you click "Submit Clergy Reference Request" an email will be sent asking the clergy member to complete a reference form for you. *

Please Confirm Email Address *

Comments to be added to the email that is sent to your clergy member:

Pacific Christian School

654 Agnes St.

Victoria, BC V8Z 2E6

PacificChristian.ca

Facebook.com/yourPCS

250-479-4532