Go-Karting Parental Consent Form

Go-Karting Parental Consent Form
Please complete this form to provide parental consent for your child to participate in go-karting activities.
Minor's Full Name
First NameLast Name
Minor's Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Full Name
First NameLast Name
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 NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Consent and Acknowledgment
Parent/Guardian Signature
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Should be Empty: