Well Prepared Program - Parental Consent Form

  • 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

  • First NameMiddle InitialLast NameGenderBirthdate (mm/dd/yy)Age During Activity 
    Enter information for each child (Click on "+" to add child)
  • Name of Activity
  • 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.

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