KOTORICON 2017 Parental Permission Form for Minors under 18 Print out this form and bring a signed copy to registration at Kotoricon. Kotoricon is held January 6-7, 2017 on the campus of Rowan College at Gloucester County in Sewell NJ. Our website has directions, policies and contact information at http://kotoricon.org All minors under 18 are required to attend Kotoricon with an adult, preferably a parent or guardian. In instances where another adult is bringing the minor, the minor must present a signed copy of this permission form to Registration. By signing, the parent understands that we are not acting in place of a parent for the attending minor. Parent understands that they are responsible for the care, safety, and conduct of their child, whether or not they are attending with their child. Parent understands that the minor is expected to follow the convention policies, and the parent is solely responsible for policy violations on the part of the minor. Minors under 18 can attend with this signed form, when accompanied by a paid adult attendee. The minor must bring the original signed copy of this form.
Minor’s Name _______________________________________ Minor's Age on January 7, 2017________
Emergency Contact __________________________ Phone __________________________ Person other than parent or guardian responsible for this minor:
“I, as the parent or guardian of the named minor, accept the rules stated above.”
Parent or Guardian’s Name:________________________________________
SIGNATURE (Parent or guardian): ____________________________ Date: ____/____/________
PHONE : ________________________ PHONE (alternate): _______________________ Print out this form and bring a signed copy to registration at Kotoricon. Kotoricon use only below this line
Page 1 of 1. NEW YORK STATE PUBLIC HIGH SCHOOL ATHLETIC ASSOCIATION. WRESTLING MINIMUM WEIGHT ASSESSMENT. PARENTAL AWARENESS FORM. The appropriate and healthful control of body weight for wrestlers has been a concern of athletes, coaches,. athletic t
Field Trip Permission & Parental Consent Form 2017-2018.pdf. Field Trip Permission & Parental Consent Form 2017-2018.pdf. Open. Extract. Open with. Sign In.
activity to use his/her judgment in securing whatever medical service is. deemed necessary. for our son/daughter while on this trip. Please attach a copy your ...
the general or specific supervision and on the advice of any physician, dentist, or surgeon; licensed to practice in. the State of Arizona or any other state. The undersigned understand(s) and agrees that any medical, dental, or. hospital expense inc
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Questions please email or call: Nathan Koep- Head ... STMA High School, in partnership with Sister Kenny Sports & Physical Therapy Center -. STMA and the ...
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Health Insurance Company Policy Number. Page 1 of 1. Parent-Permission-Form-Fillable.pdf. Parent-Permission-Form-Fillable.pdf. Open. Extract. Open with.
The District shall make no distinction between absences for UIL activities and absences for other extracurricular activities approved by the Board. A student shall be allowed in a school year a maximum of ten extracurricular absences not related to p
Page 1 of 5. DHE,C. ffiffiffi. Catherine E. Heiel, Director ?irt;tic1t;;y rtttr/ fttt;i1;;ji7g tl,t /'rrtlr/; $thr: publit',ti*1 tly r;.;t i;z;y::t:;ti. January 2016. Dear Parents/Guardians : The Tdap vaccine protects children from three serious dise
______ List of family members or friends that might pick her up: Please list any medical condition we should be aware of such as asthma, allergies ... ADDRESS: ...
Chaperones are asked to pay the $40 fee. _____ I cannot chaperone but would like to stay for a meal. _____ Friday supper $8.50. _____ Saturday lunch $7.00. _____ My child needs a ride with another member. Salem Youth Symphony. 503-485-2244. PO Box 11
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Page 1 of 2. ESUMS HIGH SCHOOL. 130B LEEDER HILL 06517. PHONE: 203-946-5882. GUEST PERMISSION FORM FOR ATTENDING. SCHOOL DANCE. COMPLETE BOTH SIDES AND RETURN FORM TO SECRETARY-TERESA FLOWERS. Name of ESUMS High School Student (please print): ...
Page 1 of 3. Universal Education Group Limited. trading as New Zealand National College 2008. Level 3. 238 Queen Street. Auckland Central. New Zealand.