Parental Consent and Liability Release Form for Minor Participation in Performance Lab Testing

JS Performance Lab
24123 Boerne Stage Rd, Suite 209
Contact Information: 210-387-0381

Purpose of Form: This form grants permission for a minor to participate in performance testing at JS Performance Lab and outlines the terms of participation, including liability release and acknowledgment of risks.

Minor Full Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Age

Parent / Legal Guardian

First Name

Last Name

Minor Information

Full Name of Minor: ____________________________
Date of Birth: ____________________________
Age: ____________________________

Parent/Legal Guardian Information

Full Name of Parent/Legal Guardian: ____________________________
Relationship to Minor: ____________________________
Contact Phone Number: ____________________________
Email Address: ____________________________
Emergency Contact Name and Phone Number: ____________________________