2022 Go Pro Medical Release Form

2022 TOP GO PRO MEDICAL RELEASE FORM

  • NAME, CELL PHONE NO. (with area code), RELATIONSHIP TO DANCER

  • As the parent, legal guardian or authorized legal agent for the above named dancer, I grant Talent On Parade, LLC and its staff the right and authority to make emergency medical decisions in good faith, and in the best interest of my child for the period of the Go Pro Program dates: July 18 to July 25, 2022.
  • Contact the TOP office at (316) 522-4836 during normal business hours with any questions or for assistance in completing/submitting this form, or email office@talentonparade.com
 

Verification