Colorado School of Baton

Name:______________________________

Address:____________________________

Phone :H:____________ C:_____________

E-mail:___________________

Child's age:_____ DOB:______

Arm Length:______inches

Parent's Names:______________________

Waiver of Liability: I agree to assume the risk that may occur to

my child as a result of participation in this class.

Parent Signature:_________________________, Date:_________