Sports Activity Guardianship Consent Form
Participant Details
Full Name
Date of Birth
Gender
Guardian Details
Guardian Name
Relationship to Participant
Phone Number
Email Address
Emergency Contact
Contact Name
Relationship
Phone Number
Medical Information
Relevant Medical Conditions or Allergies
Current Medications
Family Doctor (Name & Phone)
Consent & Agreement
Activity Name
I, the undersigned guardian, give permission for the above-named participant to take part in the specified sports activity and agree to the terms and conditions. I confirm all information provided is accurate to the best of my knowledge.
Guardian Signature
Date