Class A Under 18 Form

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
.Format: (000) 000-0000.
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
Format: (000) 000-0000.

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.

Clear
Newsletter True or False
Date

MonthDayYear
Date
Date Plus Three

MonthDayYear
Date
Should be Empty: