Jedi Gatherings Group - Parental Consent Form

Jedi Gatherings Group

Parental Consent Form
(Questions marked with an * are required.)

  Today's Date


1.  *Parent/Guardian Full Name


2.  *Parent/Guardian Phone Number


3.  *Best time to call


4.  *Minor's Full Name


5.  *Minor's Birthday (Month/Day/Year)


6.  *Minor's Age


7.  *As parent or guardian of the above party, I give consent for the above party to:

      Participate in online activities and discussions in the Jedi Gatherings Group
      Submit a Jedi Registry Entry form
      Post selected information from the Jedi Registry Entry form on the Public Registry (please specify what information below)
      Attend a Jedi Gathering (please specify Gathering date and location below)
      Join a Jedi Chapter (please specify Jedi Chapter name and/or location below)
      Participate in a Junior Chapter with a member over the age of 18 (please specify Jedi Chapter name and full name of member over age 18 below)

8.  If applicable, please specify the necessary information required above.


9.  *By entering your name below and submitting this form, you give consent for the above stated minor to participate in the specified activities and acknowledge that you may be contacted by a member of the Jedi Gatherings Group to verify your approval. Your private contact information will not be shared with anyone outside the administration of this site and is requested only for confirmation purposes. If you have any questions or concerns, please contact Moonshadow or Jedi Xhaiden by using the "Contact Us" form found on the home page of the website. Thank you for your assistance.

     Parent/Guardian Signature