St Phillips College | Ken-Lyn Consultants

SW, St. Phillips [VoTech] College Registration

Full Name

Person 2 Full Name

Person 3 Full Name

Person 4 Full Name

Parent's Email

Phone

Emergency Contact:

Emergency Contact Phone:

I give my child permission to attend this trip (stated above). I give permission for First Fratt and affiliates to transport my child as needed. I do, hereby release, discharge and hold harmless First Fratt, its agents and volunteers from any and all liability. I understand that every effort will be made to contact parents/guardians in the event of an emergency. In an emergency requiring medical care and treatment, I hereby authorize any physician, hospital or other healthcare provider to give care to my child.

Your Signature

Parent/Guardian Printed Name:

Thanks for registering.