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Parental Emergency Contact 

Please fill out the following form in order to participate in our activity.

Athlete's Information:

Parent/Guardian Information:

Additional Emergency Contact

Please list any medical information or conditions that we should be aware of, including allergies, medications, and other pertinent information:

I, the undersigned parent/guardian, hereby give consent for Train 106 LLC to seek medical treatment for my child in case of an emergency. I also certify that all the information provided on this form is accurate to the best of my knowledge.

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