Utah Valley University Activity Participation Agreement for Minors

Participant & Event Information

Minor Participant Name:
Minor Participant Phone Number:
Minor Participant Address:
Guardian or Parent Name: 
Guardian or Parent Phone Number: 
Guardian or Parent Email: 
Guardian or Parent Address: 

Only include if address is different than the participants address.
Description of Activity: 

Please be as detailed as possible in your response. 
Location of Activity: 

What high school and/or studio will the UVU Dance Team be visiting you at? 
Date of Activity: 
Name of Emergency Contact: 
Phone Number of Emergency Contact: