Toggle NavigationHomeRegistrationContactGalleryEventsHomeRegistrationContactGalleryEvents Parent Permission Form Participant's Name*Participant's Gender*Participant's Age*Mother's Name*Enter first and last nameAddress*Enter Street Address, City, State, Zip CodeMother's Cell/Home Phone Number*Mother's Email Address*Father's Name*Enter first and last nameIs the home address the same as previous?*YesNoIf no, please enter Father's AddressEnter Street Address, City, State, Zip CodeFather's Cell/Home Phone Number*Father's Email AddressI affirm that I am the natural parent (or legal guardian) of*Enter participants name(s)AND I give my consent to said minor child’s participation in all College Bound Florida activities. the undersigned does assume all risks and hazards involved to participate in this activity and releases College Bound Florida from all liability from negligence; action or inaction by College Bound Florida, its staff, volunteers, or agents; and action or inaction by volunteers and agents of any co-sponsoring agency for any injury and loss or damage connected in any way whatsoever to participate in college Bound Florida activities whether on or off premises. The undersigned acknowledges that participation in College Bound Florida activities may involve risks of contact between the participants, parents, guardians, or agents.*YesNoBy entering my name , I understand this entry will be considered an electronic signature of my agreement and acknowledgment of the above consent for participations*Enter full legal first and last nameToday's Date*This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SUBMITThank you! Your message was sent successfully. / PreviousNextPausePlayClose