Mindfulness Challenge 2019 - Parental Consent Form
Dear Parent,

In order for your child under 18 years of age to participate in Mindfulness Challenge 2019, you must complete this form.

Mindfulness Challenge 2019 will take place Saturday, November 9, 2019.

For more information, please go to www.MindfulnessChallenge.ca or email challenge@mindfulnessstudies.com.
Our Age Requirements
Child currently under 18: Requires parental consent & waiver

Age 6 - 12 on November 9, 2019: Child must be accompanied by a parent

Under 6 on November 9, 2019: We are sorry but you must be at least 6 years old to participate.
Parent First Name *
Your answer
Parent Last Name *
Your answer
Parent's Email *
Your answer
Parent's Phone *
Your answer
Parent's Address *
Your answer
Parent's City *
Your answer
Child Participant First Name *
Your answer
Child Participant Last Name *
Your answer
Child Participant Date of Birth *
Your answer
Location at which Child Participating *
I hereby confirm that I am the parent or legal guardian of the above-named child *
I hereby confirm that my child will be at least 6 years of age on November 9, 2019 and, if under 13 years of age at that time, will be accompanied by a parent. *
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