Parent/Guardian Consent
for 16-17 year olds
Student’s Name
*
Student’s Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
I consent to the above named student attending classes at Spin City Exeter
please tick
Signed - Parent/Guardian Name
*
Parent/Guardian Email
*
Submit
Should be Empty: