Rock Climbing Minor Consent Form

This consent form must be completed by a parent or legal guardian of any participant under the age of 18. Please complete all sections.

Participant Information

Minor's Full Name Date of Birth

Parent/Guardian Information

Parent/Guardian Full Name Phone Number Email Address

Emergency Contact

Emergency Contact Name Emergency Contact Phone

Medical Information

Relevant Medical Conditions / Allergies

Consent & Acknowledgements

I acknowledge that I have read and understand the risks associated with rock climbing activities, and I give permission for the above-named minor to participate. In case of emergency, I authorize medical treatment as deemed necessary for the minor.

Parent/Guardian Signature Date