County Permission Slip Form

County Events Permission Slip Form
Event Details
Provide details of the event, competition, activity or training course your child is attending
Event Name
Location
Start time
End time
Participant details
Participant Name
First NameLast Name
Age
In Case of Emergency Contact 1
Parent/Legal Guardian Name
First NameLast Name
Relationship to the Member
Phone Number
Please enter a valid phone number.
In Case of Emergency Contact 2
Parent/Legal Guardian Name
First NameLast Name
Relationship to the Member
Phone Number
Please enter a valid phone number.
Medical and transport information
Additional information/updates for the Event Organiser to be aware of? (please detail any current medical or other needs)
Transport arrangements
Consent
I have noted the information and give permission for my child to participate in the above event. I also confirm that the information provided on the Annual Parental Consent form is current and correct unless updated above.
Parent/guardian's signature
Clear
Date Signed
MonthDayYear
Date
Should be Empty:

County Events Permission Slip Form