Parent and Competitor Release Form

Step 3 – Parent & Competitor Release Form

Student Name(Required)

First Last

optional Preferred Name

Student Email(Required)

Student Health Card Number(Required)

Student Last Year of Tetanus Shot(Required)

Student Age(Required)

Student's Physician Name(Required)

First Last

Physician Phone(Required)

Parent Name

First Last

Parent Email

Parent Cell Phone

Emergency Contact Person Name(Required)

First Last

Emergency Contact Person Phone(Required)

Allergies

Do you have any known allergies? Are you taking any medications? Do you have any disabilities/physical restrictions or special conditions for competing? Do you have any history of: heart condition, diabetes, asthma, epilepsy, rheumatic fever, or other medical conditions? If yes, please list and explain.

Competitor Signature(Required)

Dated: 12 October 2024

A PARENT OR GUARDIAN MUST SIGN THIS FORM IF PARTICIPANT IS UNDER 18 YEARS OF AGE.

Parent Signature(Required)

Dated: 12 October 2024

Tools, Equipment and Materials

PLEASE NOTE THAT ALL TOOLS, EQUIPMENT AND MATERIALS THAT ARE BROUGHT IN BY THE COMPETITOR AS ACCORDING TO THE SCOPE DOCUMENTS ARE THE RESPONSIBILITY OF THE COMPETITOR. SCS DOES NOT PROVIDE STORAGE.
ALL MATERIALS AND FINISHED PRODUCTS REMAIN THE PROPERTY OF SKILLS CANADA SASKATCHEWAN.

Email

This field is for validation purposes and should be left unchanged.

Parent and Competitor Release Form

Step 3 – Parent & Competitor Release Form

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