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Participant Permission Form

Steps

  1. 1. Participant Information
  2. 2. Custodial Parent / Guardian Information
  3. 3. Emergency Contact Information
  4. 4. Medical Information
  5. 5. Insurance Acknowledgement
  6. 6. Pick-up Release Information
  7. 7. Media Waiver Release

  • Participant Information

    8. Name of Program
      Please choose all that apply. See 2019 Summer Programs Brochure.
    9. Next Year