Sports Team Outbound Travel Consent Form
Team & Trip Information
Team Name
Event Location
Departure Date
Return Date
Participant Information
Participant Name
Date of Birth
Age
Parent/Guardian Information
Parent/Guardian Name
Contact Number
Email Address
Emergency Contact
Name
Phone Number
Medical Information
Medical Conditions / Allergies
Medications
Special Instructions
Consent and Agreement
I, the undersigned parent/guardian, authorize my child to travel and participate with the above listed sports team and authorize emergency medical treatment if necessary.
Parent/Guardian Signature
Date