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Part 1 Must be completed by all participants (Athletes and Adults)


MEDICAL CONSENT: If I/son/daughter require a visit to a physician or the hospital while at this event and I cannot be reached at the above telephone numbers, I hereby give consent and authorize emergency treatment under agreement by the Event Director or his designee and a licensed medical professional.


Signature:

Date: April 2, 2025

Part II: PARENTAL CONSENT FOR MINORS PARTICIPATION IN CMP EVENT

I hereby give my consent for my son/daughter to participate in a Civilian Marksmanship Program Event. I understand that my son/daughter will be asked to sign a "Code of Conduct" at the beginning of the event. I release the Civilian Marksmanship Program (including all directors, officers, employees, agents, or volunteer workers) or event organizers from any claim or liability that may arise directly or indirectly from my child's presence or participation in the activity. I agree that CMP or Event organizers are not responsible for any personal injury, loss, or damage that my child may suffer in connection with this event. I also agree to defend, indemnify, and hold harmless the said parties from any claim arising from any wrongful or negligent conduct by my child while a participant at the camp.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Third Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Fourth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Fifth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Sixth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Seventh Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Eighth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Ninth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Tenth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

CMP Competitor Number

School or Club Affiliation *

Participant's Allergies and/or Medical Conditions (If any):
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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