Sign the Minor Permission Form

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"*" indicates required fields

Minor's First Name*

Minor's Last Name*

Minor's Birth Year*

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Birth Year*

Parent/Guardian Email*

Campaign City*

My Child is Allergic or Highly Sensitive to:*

My Child Takes the Following Medications:*

Emergency Contact Name:*

Emergency Contact Phone*

Signature*

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Phone

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