Minor Information & Waiver Submission

Please complete the following information for your minor attendee.

Deadline to complete this form is 2 weeks prior to the start of the event.

If you have questions, please contact Executive Director Amber Shaverdi Huston, CAE.

Person Completing Form

Please complete this section as it relates to the person submitting this form.

First name ^* (required)

Last name ^* (required)

Name of Institution ^* (required)

Job Title ^* (required)

Email ^* (required)

Minor Attendee Information

Please complete the follow questions as it relates to the minor attending the NACA event.

Minor's First Name ^* (required)

Minor's Last Name ^* (required)

Minor's Email ^* (required)

What is the age of the minor attending the NACA event? ^* (required)

What event will the minor be attending? ^* (required)

Parent/Guardian Information

Please complete the following questions as it relates the minor attendee's parent/guardian.

Parent/Guardian's First Name ^* (required)

Parent/Guardian's Last Name ^* (required)

Parent/Guardian's Phone Number ^* (required)

Parent/Guardian's Email ^* (required)

Responsible Person Information

Please complete the following questions as it relates the person who will be accompanying and responsible for the minor while attending the NACA event.

Responsible Person's First Name ^* (required)

Responsible Person's Last Name ^* (required)

Responsible Person's Phone Number ^* (required)

Responsible Person's Email ^* (required)

Waivers

Please upload the following completed waivers:

School Acknowledgment and Indemnification Agreement for Underage Students (signed by school)
General Waiver and Release for Minors (signed by parent/guardian and student)

Upload the waivers ^* (required)

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