Transcription of TEMPORARY CHILD GUARDIAN CONSENT FORM
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TEMPORARY CHILD GUARDIAN CONSENT FORM
TEMPORARY CHILD GUARDIAN CONSENT FORM The Parent(s)/ GUARDIAN (s) Full Name(s) and Surname(s): _____and _____ Address: _____ _____ Contact Phone Number(s) and Details: _____ _____ The CHILD (ren) Full Name(s) and Date of Birth: _____ _____ The TEMPORARY GUARDIAN (s) Full Name(s) and Surname(s): _____and _____ Address: _____ _____ Contact Phone Number(s) and Details: _____ _____ I / We, the parents or guardians of the CHILD hereby grant TEMPORARY guardianship to the TEMPORARY GUARDIAN for the period from the ___ day of _____, 20__ and expiring on the ___ day of _____, 20__. I /We hereby acknowledge that the CHILD will reside and may travel with the TEMPORARY GUARDIAN .
The Guardian agrees that his/her own insurance company, if any, will be the primary payer for any injury or loss incurred by his/her child as a result of their participation in this youth event. Zero Tolerance Policy Possession and/or use of illegal drugs, alcohol, tobacco, or firearms are strictly prohibited. Any infraction
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