Parental Consent and Waiver Form
Please fill out this form to provide consent and acknowledge the waiver terms.
Child's Full Name
*
First Name
Last Name
Parent/Guardian Full Name
*
First Name
Last Name
Date of Birth of Child
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
I hereby give my consent for my child to participate in the activities and acknowledge the risks involved. I release and hold harmless the organizers from any liability.
Signature of Parent/Guardian
*
Date of Signature
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: