Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastParent CellI certify that my child is physically well. I certify that no health-related reasons or problems preclude my child's participation in the activity mentioned above. *YesNoIf your child has any health concerns or things we should know, please list below:In the rare case of emergency I understand that I will be notified of the situation as soon as practicable. I agree to pay any necessary expenses incurred in my child's medical treatment, including, but not limited to, all transportation costs to and from a medical facility and, if necessary, transportation to my home or medical facility of choice. *YesNoSignature *Clear SignatureI give my child permission to join the Sweet Apple Park night Wednesday, September 7th 7:30-8:15pm.Submit
