• Please provide the names of 2 emergency contacts, their phone numbers, and their relationship to your child.
  • Please indicate which type of car seat you will provide for your child (5-point harness, full booster seat with back, backless booster), or indicate “my child does not need a car seat or booster seat."
  • I confirm that I have carefully read this Consent and Release form and agree to its terms knowingly and voluntarily. I also confirm that I am the parent or legal guardian of the child. This consent and release has been read and is understood by me.  
  • MM slash DD slash YYYY