Youth Permission Forms - American Dairy Goat Association National Show

First	Last	Youth ADGA ID#	Date of Birth	Parent/Gaurdian Name	Parent/Gaurdian ADGA ID#	Emergency Phone Number	Additional Phone Number	Allergy and known medical or physical conditions	Health Insurance Provider	Health Insurance Number	Name of Designated Chaperone	Youth/Chaperone housing arrangement:
First	Last	Youth ADGA ID#	Date of Birth	Parent/Gaurdian Name	Parent/Gaurdian ADGA ID#	Emergency Phone Number	Additional Phone Number	Allergy and known medical or physical conditions	Health Insurance Provider	Health Insurance Number	Name of Designated Chaperone	Youth/Chaperone housing arrangement: