Recycling Program Permission Form

Recycling Program Permission Form
Please fill out this form to grant permission for participation in the recycling program.
Participant's Full Name
First NameLast Name
Parent/Guardian Full Name (if participant is a minor)
First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email Address
example@example.com
Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Permission
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I hereby grant permission for the participant to take part in the recycling program.
Signature of Participant or Parent/Guardian
Clear
Should be Empty: