Parent Consent Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Parent's Name *FirstMiddleLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Child's Name *FirstMiddleLastProgram(s) that your child is participating in. ANMN Youth Yoga & Environment Camp 2024ANMN Youth IT Coding Camp – 2024ANMN Youth Nepali Language Class – Kakchya 2024ANMN Youth Dance Lessons Summer 2024ANMN Youth Leadership Program Summer 2024ANMN Youth Art Workshop Summer 2024Medical Information *Specify any relevant medical information or conditions that the organizers should be aware of, such as allergies, medications, or special needs. Also, mention if any medication needs to be administered during the program and provide instructions. Type NA or None if your child doesn't have any medical information that we need to know of.Assumptions of risks, waiver of liabilities and consent I hereby grant permission for my child to participate in ANMN’s Summer Enrichment Classes/Camps as described above. I understand that while reasonable precautions will be taken to ensure the safety and well-being of all participants, the organizers cannot be held responsible for any unforeseen circumstances or accidents that may occur during the program. I acknowledge that Association of Nepalis in Minnesota (ANMN) and its representatives reserve the right to dismiss any participant whose behavior is disruptive, unsafe, or violates the program's rules and regulations. In such cases, I understand that no refund will be provided. I also authorize Association of Nepalis in Minnesota to use photographs or videos of my child taken during the Summer Enrichment Classes for promotional purposes, including but not limited to websites, brochures, or social media platforms. Consent/Authorization *I hereby, by typing my name, date and time, grant my consent for my child to participate in Summer Enrichment Classes or camps organized by Association of Nepalis in Minnesota as above. I have read and understood the details provided in this consent form and agree to comply with the rules and regulations set forth by the organizers.Full Name *Date / Time *DateTimeSubmit
