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LPA DISTRICT 4
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​Temporary Guardian & Medical Release Form

Minors (under the age of 18) attending the regional without their parents or legal guardian, must have a temporary guardian designated for the weekend. The temporary guardian must be at least 21 years of age.

The parents of the unaccompanied minor attending the regional must download and fill out the form below. Once the form is filled out and notarized, please scan/email a copy of it to Aimee Rudd at least 10 days before the regional. The form must be turned in onsite with the minor when they check in at the LPA Registration table.

If you have any questions or need assistance please contact:

Aimee Rudd
District 4 Director
lpadistrict4@gmail.com
lpa_temporary_guardian_and_medical_release.pdf
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File Type: pdf
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