Child Participant Consent and Registration
Participant Information
Child's Full Name
Date of Birth
Gender
Male
Female
Other
Prefer not to say
Home Address
Parent/Guardian Name
Parent/Guardian Email
Parent/Guardian Phone
Consent Agreement
I, the undersigned parent or legal guardian, give consent for my child to participate in the program/activity. I confirm that I have read and understood the information provided about the program/activity.
I agree to the terms and conditions above.
Emergency Contact (if different from above)
Emergency Contact Name
Emergency Contact Phone
Relevant Medical Information / Allergies
Parent/Guardian Signature
Date
Child's Signature (if appropriate)
Date