2025 JASC JAPAN CUP CONSENT FORM

2025 JASC JAPAN CUP CONSENT FORM

Saturday, April 5, 2025 Front Range Community College 3645 W. 112th Ave, Westminster, CO 80031
**This form must be submitted by March 21, 2025**
1. Personal & School Information
Participant's Full Name*

First NameLast Name
Japanese Instructor Name:*
Year/Grade:*
School Name:*
2. Japanese Language Experience
What level of Japanese are you currently enrolled in?*
Have you participated in Japan Cup in the past?*

YesNo
If yes, at what level(s) did you compete?*
If no, type "N/A"
Are you a native Japanese speaker?*

YesNo
Do you use Japanese on a regular basis for daily communication at home?*

YesNo
How many days have you spent in Japan?*
Purpose of visit in Japan*

TouristStudy AbroadLanguage CampOther
3. Permission to Participate

To be signed by the student's parent/guardian if the student is under 18 years of age. Otherwise, the student may sign.
I, First Name* Last Name* , do hereby give my permission for First Name* Last Name* to participate in the Japan America Society of Colorado's Japanese language competition to be held on Saturday, April 5, 2025. I also give permission for any photos taken on the day of the competition which may include the applicant, to be published in the JASC newsletter, on the JASC website, and on JASC social media.
Parent/Guardian (or student if at least 18 years old) Full Name:*

First NameLast Name
Parent/Guardian (or student if at least 18 years old) Signature:*

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Date Signed:*

MonthDayYear
Date
Relationship to student:*
Email or contact number:*
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