Minors Permission Form

Adult Name and Contact Information*
First Last
Phone*
Email*
Dodge Location*
Minors under the age of 18 must be accompanied by an adult. I recognize my responsibility to ensure that said minor child participates only in those activities for which he/she has the required skills, qualifications, training and physical conditioning. I understand that Dodge Nature Center shall have no responsibility to pay for medical treatment and related costs if said minor child is injured.
Minor First and Last Name(s)*
Parent or Guardian Name:*
First Last
Parent or guardian signature minors under 18 will be joining you.*
Sign this box with your finger or your mouse cursor, the way you would with a pen.

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