Cruise Parental Consent Form
Please fill out this form to provide parental consent for your child to participate in the cruise.
Child's Full Name
First Name
Last Name
Child's Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Full Name
First Name
Last Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Consent for Medical Treatment
*
I give permission for the child to receive medical treatment in case of an emergency.
I understand that the cruise staff will take reasonable precautions for the safety and well-being of the child.
Consent for Participation in Activities
*
I give permission for the child to participate in supervised activities on the cruise.
I understand that my child may have access to swimming pools and water activities.
Submit
Should be Empty: