Name of Child Participant *
Name of Child Participant
Parent(s) and/or legal guardians(s) of child participant *
Parent(s) and/or legal guardians(s) of child participant
Home Address *
Home Address
Cell Phone *
Cell Phone
Home Phone
Home Phone
Work Phone
Work Phone
Youth Phone
Youth Phone
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.