Anime Boston 2008 Volunteer Participation Form for Minors

(Please print from your computer and bring it to Volunteer HQ when you check in.)

Participant's Name: _____________________________________________

Date of Birth: __________________________ Age: ________________

Guardian's Phone Number: ________________________________________

Address:

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

This form must be signed by the guardian/parent in front of AB Volunteer Staff when the minor is brought in.

I, ____________________________________,

grant permission for ___________________________ to volunteer at Anime Boston, taking place from March 21 to March 23, 2008. I am aware that volunteering may go quite late, possibly until 10 or 11 pm. I am also aware that minor volunteers are limited to a maximum of eight (8) hours of service a day. I further give my consent to Anime Boston to acquire emergency medical treatment from competent medical personnel/facilities should that become necessary for any reason (option to opt out is provided below).

Guardian's Name (Print): _______________________________________

Guardian's Signature: _________________________ Date: __________

Guardian's Relation to Applicant: ______________________________

I have chosen to opt out of the permission for medical attention consent for my child:

Check here to opt out: _______________________