Youth Consent and Participation Form

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We are delighted to welcome your child to Tucson Dojo at Higher Ground a Resource Center. Participation in our activities offers valuable opportunities for personal growth, development, and fun.

This form is for ALL minors joining and participating in any activities of Tucson Dojo including but not limited to judo practice, scrimmage matches with other dojos, wrestling, jujutsu, and any form of martial arts practice. In addition to gathering information, you will be electronically giving permission for your youth to participate and agree to follow the values, rules, and procedures during activities of Tucson Dojo.

First Name of Minor *

Last Name of Minor *

Address (include city, state, and zipcode) *

Date of Birth *

YYYY

Please list all existing medical conditions of the youth *

Youth Phone Number (optional)

Youth Email (optional)

List other sports that your youth regularly participates in if any:

Please give any other information you'd like to share about your child (ie: awards, strengths, concerns, traumatic experience, etc.)

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