Child Workshop Participation Consent Form
Please complete this form to provide consent for your child to participate in the workshop.
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Workshop Name
*
Workshop Date
*
-
Month
-
Day
Year
Date
Emergency Contact Name and Relationship to Child
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any allergies, medical conditions, or special needs your child has (if none, write 'None')
*
Parent/Guardian Signature
*
Submit Consent
Submit Consent
Should be Empty: