Volunteer Minor Supervision Permission Request Form
Minor's Full Name
Date of Birth
Age
Parent/Guardian Name
Parent/Guardian Contact Number
Parent/Guardian Email
Event/Activity Name
Date of Event/Activity
Time
Location
Name(s) of Volunteer Supervisor(s)
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Allergies/Medical Conditions
Special Instructions/Notes
I give permission for my child to participate under the supervision of the designated volunteer(s).
Parent/Guardian Signature
Date