Uncommon Ground
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Parental Consent & Waiver
Required for all teens attending UGI events.
All forms
Teen's first name
Teen's last name
Teen's date of birth
Teen's age
Parent/Guardian first name
Parent/Guardian last name
Parent/Guardian phone number
Parent/Guardian email
Emergency contact name
Emergency contact phone
Relationship to teen
Any medical conditions or allergies we should know about?
I give permission for my teen to attend UGI events.
I understand that UGI follows a two-adult rule and mandatory reporting protocols.
I understand that photos may be taken at events.
Parent/Guardian signature
Date
Submit Consent Form
