Club Swimming Travel Consent Form
Swimmer Information
Swimmer's Full Name
Date of Birth
Age
Home Address
Parent / Guardian Information
Parent/Guardian Name
Phone Number
Email Address
Travel Details
Event Name
Event Date(s)
Destination
Medical Information
Medical Conditions / Allergies
Current Medications
Emergency Contact Name
Emergency Contact Phone
Consent & Authorization
I hereby give permission for my child to travel with the club swimming team and authorize the designated chaperones to act on my behalf in the event of an emergency. I confirm the information provided is accurate.
Parent/Guardian Signature
Date