Authorized Pick Up - Twister Sports

Please note: A Twister Sports staff member may call you to confirm your personal submission of this form.

Parent's Name*
First Last
Child's Name*
First Last
Child's Date of Birth*
MM slash DD slash YYYY
Authorized Pick Up Contact's Name*
First Last
Contact's Phone*
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Authorized Pick Up Contact's Name
First Last
Contact's Phone
Parent's Signature of Authorized Contact*
I understand that all contacts I have provided to Twister Sports (upon registration and through the use of this form), are authorized to pick up my child(ren). I understand a Twister Sports manager may call me to confirm the submission of this form was, in fact, submitted by a parent or guardian.