Parental Consent and Minor Release of Liability Waiver Form

Minor's Information

Minor's Name Date of Birth Address

Parent/Guardian Information

Parent/Guardian Name Phone Number Email

Consent and Waiver

I, the undersigned, certify that I am the parent or legal guardian of the minor named above. I hereby give my consent for my child to participate in the designated activity/event. In consideration for my child’s participation, I voluntarily release and hold harmless the organizers, their employees, agents, and volunteers from all liability for any injury or damage resulting from participation.

Parent/Guardian Signature Date