Minor Waiver & Consent To Travel Form printable pdf download

Minor Waiver

Minors will not be allowed to attend SCA events without signed release forms. In Florida, such forms must

Notary Seal Here

be notarized. Legal minority is determined by the state in which the event is held, not the state of residency.

I, ____________________ parent/guardian of ____________________ do hereby declare my full under-

standing of his/her intention to participate in the event to be held by the Society for Creative Anachronism,

Inc. on (date) _________________ at (site) ____________________ in (city) ____________________.

I declare that I have made myself fully aware of the danger to his/her person and property presented by such

participation, and do hereby grant him/her permission to participate in said event, and to hold harmless all

other participants in this event and the Society for Creative Anachronism, Inc. from liability for personal

injury or property damage which may arise by reason of, or as a result from, his/her participation in said event.

TO BE SIGNED BEFORE COMING TO EVENT

Signature of parent/guardian: ________________________________________________________ Date:_______________________

Signature of Notary: _______________________________________________________________ Date:_______________________

Commision #: _______________________Expiration Date:_______________________________

TO BE SIGNED AT REGISTRATION

Signature of person responsible for minor’s conduct at this event: ________________________________________________________

Witness: ______________________________________________Witness: _______________________________________________

Minor Medical & Travel Consent

I do hereby give to ____________________ known in the SCA as ____________________ the author-

Notary Seal Here

ity and responsibility to care and govern my child/ward ____________________ known in the SCA as

____________________ and to act in my place as parent/guardian of said child and exercise such duties and

responsibilities as I myself would discharge, including, but not limited to the authority to seek and approve ap-

propriate medical treatment, to administer appropriate discipline if necessary. This authority shall hold from

(date) _______________ to (date) _______________ during the (event) ____________________ held

at (site) ____________________ in (city) ____________________ and shall include the time needed to

travel to and from said event. I assume all financial and legal responsibility for emergeency medical treatment.

Insurance Company: ____________________________________________________________ Policy #:_______________________

Signature of Parent/Guardian: ___________________________________________________________________________________

Address: ____________________________________________________________________________________________________

Signature of Notary: _______________________________________________________________ Date:_______________________

Commission #: _______________________Expiration Date:_______________________________

Person who can locate parents at all time: ___________________________________________________________________________

Address: _______________________________________________________________________ Phone:_______________________

Minor Waiver & Consent To Travel Form