WHC Parental Consent and Liability Statement

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You need to submit one form for each minor child attending the WHC activity.

Choose which activity your child will be attending.
Child's Name:
Please list any allergies or medical conditions we need to be aware of, particularly in a medical emergency.
Please write None if the child doesn’t have medical insurance.
Please write None if the child doesn’t have medical insurance.
Doctor's Name:
I have read and understood:
Please check.
I have read and understood:
Please check.
I have read and understood:
Please check.
I have read and understood:
Please check.
I have read and understood:
Please check.
I certify that:
Please check.
Parent's Name:
Clear Signature