U18 Consent Form

1
Name of minor (Under 18)
First Name
Last Name
2
Here is a copy of the freestyle declaration - A copy will be sent on saving formPlease read and agree on next page
3
I/We agree to Club Rules and Freestlye Declaration for the above named minor?
Yes
No
4
Your email address
example@example.com
5
Kendal Snowsports Club officials email addressWe recieve copy
example@example.com
6
Parent/Guardian Name
First Name
Last Name
7
Mobile Phone Number of Guardian
8
Signed Date* This field is required.
Date
Day
Month
Year
9
Relationship to minor
Father
Mother
Guardian
Other
10
Patient/Parent/Guardian Signature
Should be Empty: