Lake Shore Region Emergency Contact Form
For USPC Members Above the Age of Majority

The age of majority is the threshold of adulthood in law. As USPC members above the age of majority are adults in the eyes of the law and therefore responsible for themselves, USPC does not require a “chaperone” for these members at competitions. USPC does require that members above the age of majority submit emergency contact information for each competition. Age of majority vary per state.
Club/Center *
Competitor First & Last Name *
Competitor Phone Number *
Competitor Email Address *
Competitor Age as of January 1, 2020 *
State of Residence *
Regional Activity Name *
Regional Activity Date *
Emergency Contact First & Last Name *
Emergency Contact Relationship to competitor *
Emergency Contact Cell Phone # *
Emergency Contact Home Phone #
Seondary Emergency Contact Name - optional
Seondary Emergency Contact Relationship to competitor
Seondary Emergency Contact Cell Phone #
Seondary Emergency Contact Home Phone #
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy