* Required * This form will record your name, please fill your name. Government of Virgin Islands Archery Field Use This form collects consent from parents or guardians for your upcoming trip. Please submit separate forms if you have more than one child who will attend and if you are a participant with a child. Participant's information Full Name * 1. Enter your answer Child's age 2. Enter your answer Parent's / guardian's full name  * 3. Enter your answer Parent's / guardian's or Participant phone number * 4. Enter your answer Parent's / guardian's or Participant email address * 5. Enter your answer Yes No Do you consent for your child to participate? 6. Practice schedule Date of Use * 7. Targets and equipment Target only Nothing needed Other Need Equipment? * 8. 10:00AM - 11:30AM 1:30PM - 3PM Preferred practice time * 9. 0 1 2 3 4 5 6 7 8 9 10 Not likley at all Extremely likely What is your perceived level of expertise with archery? * 10. not at all very capable If you are a coach, select your USA Archery Level. * 11. 1 2 3 4 5 Parental consent Yes No Does your child have any allergies? 12. If yes, please list all allergies. 13. Enter your answer Yes No Do you confirm that your child is medically fit and able to participate in all activities? 14. Do you have any other special requests or comments for the activities? Please leave it below. 15. Enter your answer Parent/Guardian signature 16. Enter your answer Signature date 17. Participant signature * 18. Enter your answer Signature date * 19. This content is neither created nor endorsed by Microsoft. The data you submit will be sent to the form owner. Microsoft Forms