| Child's Name: ____________________________ _________________________________________ Parent/Guardian Name _________________________________________ Parent/Guardian Phone Number _________________________________________ Emergency Contact Name _________________________________________ Emergency Contact Phone Number Allergies: ________________________________ _________________________________________ Restrictions: _____________________________ _________________________________________ _________________________________________ Signature In _________________________________________ Signature Out |
| EMERGENCY FORM |
| THANKS FOR YOUR SUPPORT! |
| Print this form, fill it out, and bring it to the fundraiser. |
| Date: ______________ _________________________________________ Signature In _________________________________________ Signature Out Date: ______________ _________________________________________ Signature In _________________________________________ Signature Out Date: ______________ _________________________________________ Signature In _________________________________________ Signature Out |
| Use this section for future fund raisers. |