WCA North Range Minor Consent Form

11714 Airport Rd, Everett, WA 98204
(425) 265 - 7143
rangemaster@westcoastarmorynorth.com
www.westcoastarmorynorth.com
Parent/Legal Guardian Consent Form
Date of Consent*

MonthDayYear
Name of Parent/Legal Guardian*

First NameLast Name
Name of Minor*

First NameLast Name
Name of Temporary Guardian*

First NameLast Name
Check box to certify agreement with the use of this form*

I, (Legal Guardian listed), Parent/Legal Guardian of (Minor Listed), give temporary guardianship to (Temporary Guardian listed), for the sole purpose of shooting at West Coast Armory North. I understand that in case of emergency I need to be available by phone and that emergency actions may need to be taken.
Parent/Legal Guardian Signature*

Clear
Date of Parent/Legal Guardian Signature*

MonthDayYear
Emergency Contact Number for Parent/Legal Guardian*

Area CodePhone Number
Signature of Temporary Guardian

Clear
Date of Temporary Guardian Signature*

MonthDayYear
*Please Note: This form is only valid for the day it is dated for. Please Double check the date at the top of the form before submitting. Thank you.*
Should be Empty:

Parent/Legal Guardian Consent Form