Youth Organization Outbound Expedition Consent Form
Participant Information
Full Name
Date of Birth
Parent/Guardian Name
Contact Number
Expedition Details
Expedition/Event Name
Date(s) of Expedition
Location
Medical Information
Relevant Medical Conditions or Allergies
Medications Currently Taken
Emergency Contact Name & Number
Consent and Agreement
I hereby grant permission for my child to participate in the outbound expedition and acknowledge the associated risks.
In the event of an emergency, I authorize the leaders to obtain emergency medical treatment for my child.
I have provided all relevant medical and contact information above.
Parent/Guardian Signature
Date