Children’s Sports Drink Consumption Consent
Please complete this form to provide consent for your child to consume sports drinks during organized activities.
Child’s Full Name
*
First Name
Last Name
Child’s Age
*
Parent/Guardian Full Name
*
First Name
Last Name
Relationship to Child
*
Please Select
Mother
Father
Legal Guardian
Other
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any allergies or medical conditions?
*
No
Yes (please specify below)
If yes, please list allergies or medical conditions
Please select the sports drinks you consent to your child consuming
*
Electrolyte drinks (e.g., Gatorade, Powerade)
Isotonic drinks
Flavored water
Other
Parent/Guardian Signature
*
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Consent
Submit Consent
Should be Empty: