School Fitness Club Participation Consent Form
Participant Information
Student Name
Grade
Date of Birth
Parent/Guardian Information
Parent/Guardian Name
Contact Phone
Email Address
Medical Information
Relevant Medical Conditions
Emergency Contact Name
Emergency Contact Phone
Consent
I hereby give consent for my child to participate in the School Fitness Club activities.
In case of emergency, I authorize school staff to obtain medical treatment for my child.
Parent/Guardian Signature
Date