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Youth/Chaperone Forms for Admittance into Summit
Please print a copy of the Youth Expectations for each youth participant and a copy of the Chaperone Expectations for each chaperone participant.
In addition, please print, complete, and sign the Parent Permission/Medical Release form and the Participant Code of Conduct form indicated below:
Youth Chaperones must bring to the Summit the following:
- Original signed Parent Permission/Medical Release form (to be kept at the registration desk)
- Two copies of signed Parent Permission/Medical Release form (one for youth to carry and one for chaperone to carry)
- Original signed Participant Code of Conduct form (to be kept at the registration desk)
- Two copies of signed Participant Code of Conduct form (one for youth to carry and one for chaperone to carry)
Please do NOT mail the forms in with registration and do NOT send them directly to DASA!
Youth will not be admitted to the Summit without these signed forms!
If you have any questions about the Prevention Summit Youth/Chaperone forms, please contact Rori Parker, CASAT Training Coordinator, at 801.581.8967 or toll free 866.617.2816 (ask to be transfered to Rori Parker).