Go Quest Team Registration Form

Team Name

Mentor Name

Number of Team Members 2 to 5

Mentor Phone Number

Format: (000) 000-0000.

Mentor Email Address

example@example.com

Team Member 1 Age:

Name

Parent/guardian Phone

Format: (000) 000-0000.

Email if applicable

example@example.com

Special Needs or Accommodations

Team Member 2 Age:

Name

Parent/guardian Phone

Format: (000) 000-0000.

Email if applicable

example@example.com

Special Needs or Accommodations

Age

Name

Parent/Guardian Phone:

Format: (000) 000-0000.

Email if applicable

example@example.com

Special Needs or Accommodations

Team Member 4 Age:

Name

Parent/Guardian Phone

Format: (000) 000-0000.

Email (if applicable): Special Needs or Accommodations:

Email if applicable

example@example.com

Special Needs or Accommodations

Team Member 5 Age

Name

Parent/Guardian Phone

Format: (000) 000-0000.

Email (if applicable): Special Needs or Accommodations:

Email if applicable

example@example.com

Special Needs or Accommodations

Parental/Guardian Waiver: All team members under 18 years of age must submit a signed waiver from a parent or guardian. Waivers must be received before the day of the event for participation. Waiver forms will be sent to the mentor's email upon registration. Emergency Contact Information:

Emergency Contact Name:

Format: (000) 000-0000.

Emergency Contact Phone Number

Relationship to Team

Agreement: By signing below, the mentor agrees to oversee the team during the event and ensure compliance with all rules and guidelines. All information provided above is accurate to the best of my knowledge.

Mentor Signature

Submission Instructions: Please complete and return this form by [Insert Deadline Date] to [Insert Email Address or Physical Address]. For questions or additional information, contact us at [Insert Phone Number or Email Address].

Thank you for registering for Go Quest! We look forward to seeing you at the event.