Youth Dance Competition Parental Authorization
Participant Information
Full Name
Age
Address
Parent/Guardian Information
Full Name
Phone Number
Email
Medical Information
Relevant Medical Conditions or Allergies
Emergency Contact (if different)
Authorization
I, the undersigned parent/guardian, authorize my child to participate in the Youth Dance Competition. I acknowledge that I have read and understood the terms and conditions of participation, and that all information provided is accurate.
Parent/Guardian Signature
Date