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LPA DISTRICT 4
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​Temporary Guardian & Medical Release Form

Unaccompanied minors (17 years and under) attending the regional without a parent or legal guardian, must have a temporary guardian designated for the event. The temporary guardian must be at least 21 years of age.

Parents/
legal guardians need to download and fill out the LPA Temporary Guardian Form below. Minors must have their own individual LPA Registration and may not be added on as a guest to their guardian's registration. Once the form is filled out and notarized, please complete LPA Registration and then scan/email a copy of it to Aimee Rudd at least 10 days before the regional.be included with their registration form or your packet will be returned to you as incomplete and unregistered.

If you have any questions or need assistance
 [email protected]. The form must also be turned in onsite with the minor when they check in at the LPA Registration table.
lpa_temporary_guardian_and_medical_release_-_2025.pdf
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