NACURH Annual Conference Parent & Guardian Waiver
Parent or Guardian Name
*
First Name
Last Name
Parent or Guardian Email
*
Student's Name
*
First Name
Last Name
Student's Email
*
Student's Institution
*
ANNUAL CONFERENCE WAIVER
Parent or Guardian Signature [if applicant isunder age 18]
*
PHOTO/MEDIA
Parent or Guardian Signature [if applicant isunder age 18]
*
Conference Information:
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Should be Empty: