Permission Form

Fishing and Camping Club Permission Form

Complete this form and submit for your child to participate in Fishing and Camping Club. If you are registering for more than one child, an individual permission form must be completed for EACH child.

Fishing and Camping Club

Complete this form and submit for your child to participate in Fishing and Camping Club. If you are registering more than one child, an individual permission form must be completed for EACH child.
Student Name(Required)

The undersigned, who is the parent/guardian of named above, a minor (hereinafter referred to as “Student”), on behalf of himself and student, their personal representative, assigns, heirs and next of kin, request Student is permitted to participate in the aforementioned event:

Acknowledgements(Required)
First and Last Name

Medical Information: In the event Student becomes ill, I authorize the faculty or chaperones to obtain medical attention at a physician’s office or hospital. Student is covered by the following medical insurance:

If none, type none
If none, type none

I UNDERSTAND THAT EVERY EFFORT WILL BE MADE TO REACH ME BEFORE MEDICAL PERMISSION IS GIVEN TO TREAT MY CHILD.

First and Last Name
Non Students