Health Fair Permission Form

Health Fair Permission Form
Please complete this form to grant permission for participation in the health fair.
Participant's Full Name
First NameLast Name
Date of Birth
MonthDayYear
Date
Parent/Guardian Full Name
First NameLast Name
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any medical conditions we should be aware of?
Signature of Parent/Guardian
Clear
Date
MonthDayYear
Date
Should be Empty: