Class A Under 18 Form

Parent/Legal Guardian and Emergency Contact Information
Parent/Legal Guardian
Parent/Guardian Name*

First NameLast Name
Parent/ Legal Guardian Phone *
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Emergency Contact

Please provide an individual who is readily available and can be contacted in an emergency
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*

Volunteer Release
Parent/Guardian Signature
I am a parent or guardian of the participant. I have read and understand this form and have explained the contents to the participant as appropriate. By signing, I agree to this form on my own behalf and on behalf of the participant.*

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