Parental Consent Form for Swimming Lessons

Participant Information

Child's Full Name Date of Birth Age

Parent/Guardian Information

Parent/Guardian Name Phone Number Email Address

Emergency Contact

Emergency Contact Name Emergency Contact Phone Relationship

Medical Information

List any medical conditions, allergies, or medications

Consent

I, the undersigned, give permission for my child to participate in swimming lessons. I understand and accept all risks associated with this activity and authorize emergency medical treatment if necessary.

Parent/Guardian Signature Date