Caving/Spelunking Parental Consent Form

Participant Information

Participant Name: Date of Birth: Address:

Parent/Guardian Information

Parent/Guardian Name: Relationship to Participant: Contact Number: Email:

Emergency Contact

Name: Relationship: Phone Number:

Medical Information

Relevant Medical Conditions or Allergies: Current Medications:

Consent & Acknowledgement

I, the undersigned parent/guardian, hereby give permission for the above-named participant to take part in the caving/spelunking activity and acknowledge the inherent risks involved.

Parent/Guardian Signature: Date: