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TC Outdoor Families
This form has been modified since it was saved. Please review all fields before submitting.
Please list the names and ages of all family members attending the event. If less than five family members are attending, list N/A in the extra fields.
List any prescription and non-prescription medications currently being taken and the family member to whom it applies. If none, list N/A.
List any allergies and the family member to whom it applies (include food, medication, insect sting/bites, etc). If none, list N/A.
List any medical conditions and the family member to whom it applies (asthma, chronic back issues/surgery, heart problems, stroke, migraines, seizures, diabetes, etc.) If none, list N/A.
Describe any physical and/or behavioral conditions that will require special assistance during the event. If none, list N/A.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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