Fill and Sign the Athletic Participation Permission Form 497426792

ATHLETIC PARTICIPATION PERMISSION FORM I/we give permission for my/our child or ward       , to participate in the following after school activity:       under the supervision of the following academic institution:             Name of child       Address       Mother’s Name       Father’s Name       Date of birth       Zip Code       Work phone       Work phone       Sex       Home phone       Cell phone       Cell phone I/we specifically give permission for       to contact       at the following telephone number in case of emergency and I/we cannot be reached       . I/we further give permission and authorization for any necessary medical or dental treatment should an emergency occur. I/we shall be liable for and agree to pay all costs and expenses incurred in connection with any medical or dental treatment rendered pursuant to this permission. I/we have read this form, agree and sign voluntarily with knowledge of its terms and conditions. ______________________       Mother/guardian Signature Date ______________________       Copyright 2004 USLegalforms.com Father/guardian Signature Date Copyright 2004 USLegalforms.com