LEGAL CONSENT FOR MINORS

I hereby certify that I do exercise of parental authority or that I am tutor of the minor child named

(pupil name)


Name of the father (tutor) in block letters
 
Name of the mother (tutor) in block letters

Address, Apt.
 
Adress(if different), Apt.

Town, province
 
Town, Province

Postal Code, phone number
 
Postal Code, phone number

___________________________________________
transcribe: I have read and understood this form.
 
___________________________________________
transcribe: I have read and understood this form.

___________________________________________
Signature (Father), Date
 
___________________________________________
Signature (Mother), Date

___________________________________________
Verified by, Date
(Parachute Montréal Inc.)
   

RETURN THIS DOCUMENT TO US BY REGULAR MAIL, OR FAX TO: (450) 839-6969