Camps and Sports Events Guardianship Form

Participant Information

Full Name Date of Birth Address Camp/Sports Event Name Event Dates

Guardian Information

Guardian Full Name Relationship to Participant Phone Number Email Address

Emergency Contact

Emergency Contact Name Relationship Phone Number

Medical Information

Medical Conditions / Allergies Medications Physician Name & Contact

Permissions & Consent

I, the undersigned guardian, give permission for my child to participate in all activities and authorize medical treatment if necessary:

Guardian Signature Date