Consent for Minor Travel PF

Please fill in the information below, sign and either email to: info@rideWOTA.org or mail to: 250 W. Livingston Rd. Highland, MI 48357.

To print, right click and choose Print.

Consent for Minor Travel

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This field is for validation purposes and should be left unchanged.

Minor Full Name(Required)

Gender(Required)

Male

Female

Other

Minor Date of Birth(Required)

Minor's Age(Required)

Phone #

Disabilities of the Minor-Please List: (Must complete disability forms if applicable)(Required)

I/We authorize my child to travel with the following adult(s):

Adult Name

Relationship

Adult Name

Relationship

Absolutely no minors travel alone. All minors (regardless of age) and accompanying adults must have a completed registration form on file.

Parent/Legal Guardian Full Name(Required)

I am unable to use finger/mouse or file upload to sign and will only type my name in "Signature Typed" box below.

Yes

Parent / Legal Guardian Signature:(Required)

I am uploading my signature instead of finger/mouse signing.

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 512 MB.

I choose to upload a digital version of my signature.

Typed Parent Signature

Date of Signature(Required)