IGNITE Signup Sheet "In God Nothing Is Too Extreme " Question Title * 1. Youth First Name and Last Name Question Title * 2. Youth birth month/day/year Question Title * 3. Address Parents/Guardian Name Address City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 4. Childs Allergies/Needs Question Title * 5. Additional Information Question Title * 6. The child named above is in good health and I consider him/her capable of the activities taking place. I agree to him/her taking part in youth activities. In the event of a accident I consent to any necessary medical treatment. In a emergency I consent to treatment by medical health professionals, if considered. Yes No Question Title * 7. I also give permission for photos/videos for local promotion to be taken. (Children will not be identified by name) Yes No Question Title * 8. Emergency Contact Name Question Title * 9. Emergency Contact Mobile Number Done