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Home
About
About Omega
Board of Directors
President
Mandates
Find a Chapter
History of Omega
Notable Omegas
Past Grand Basilei
Annual Report
Contact
Vendors
Resources
Emergency Relief Team
Vote.org
Joint Center for Political and Economic Studies
Mental Health Emergency & Crisis Resources
Join Omega
Get Financial
Partner Links
Find a Chapter
Programs
Leadership Conference
Mandated Programs
Achievement Week
Fatherhood & Mentoring
Scholarship
Stem
Talent Hunt
High School Essay Contest
Brother You’re on my Mind
Project 1911
Prayer Call
Media
News and Events
Photo Gallery
The Oracle
Policies
Anti Hazing
Vendors
Legal
Trademark and Logo
Brothers
Login
MSP
Suspended Members
Expelled Persons
Career Opportunities
Paid Service Award Eligible Members
Emergency Relief Team
Jobs
Approved Events
Well Prepared Program - Parental Consent Form
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The Parental Consent Form is a form that parents or legal guardians of children must sign in order to allow children to participate in activities hosted by Omega Psi Phi Fraternity, Inc. All minor, youth and guests must have a signed form to participate in any activities under the guise of Omega Psi Phi Fraternity, Inc. It is recommended that parents/legal guardians keep a copy of the form and contact the activity leader in the event of any questions or in case emergency contact is needed.
Participation Information
Child(ren)
*
First Name
Middle Initial
Last Name
Gender
Birthdate (mm/dd/yy)
Age During Activity
Enter information for each child (Click on "+" to add child)
Address
*
Street Address
Apartment/Unit #
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
My child has permission to participate in
*
Name of Activity
My child has permission to participate with the chapter
*
-Select Chapter-
Omega Mu Mu
Iota Upsilon
Epsilon Kappa Kappa
Eta Pi
Omicron Chi
Pi Omega
Gamma Pi
Mu Nu
Lambda Kappa Kappa
Rho Phi
HOLD HARMLESS AGREEMENT
I understand that participation in the activity involves a certain degree of risk. I have carefully considered the risk involved and have given consent for myself or my child to participate in the activity. I understand that participation in the activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release Omega Psi Phi Fraternity, Inc., the chapter, the activity coordinators, and all volunteers, related parties, or other organizations associated with the activity from any and all claims or liability arising out of the participation.
Parent/guardian name
First
Last
Parent/guardian signature
Phone (Work)
Phone (Cell)
*
Email
*
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