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Trek Activity Permission and Medical Release Form

Please download the form. Once completed, upload (using submit button below)

or, print and email to : Admin@stgeorgenorthstaketrek.com

Permission E Sign And Pen Pdf Pdf

PDF – 1,022.3 KB 276 downloads

Download

Fill out the Yellow areas of the Form ONLY,

Then Sign on signature line

AND....

Upload completed Permission and Medical form

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Need additional Help?

ALSO!!!

Please fill out this quick registration survey so we can quickly get your name on the list and assist you if needed!

Quick Registration Form

Each participant is asked to complete this form. Additionaly all particpants MUST complete the Medical Release and permission form including parental signature.

St George Utah North Stake Trek 2026

July 8th thru 11th, 2026

Ward of participant *

Central
Dammeron Valley
Diamond Valley 1st
Diamond Valley 2nd
Gunlock
Ledges
Pine Valley
Veyo
Winchester 1st
Winchester 2nd

First Name *

Last Name *

Telephone Number ( if available) *

Email address

Birth Date

Age *

Parent or guardian's name ( if participant is a minor)

Parent or Guardian Telephone Contact

Email address of Parent/Guardian ( to be used for future communications) *

I plan on participating at the Stake summer trek this year *

Yes
No

I need help filling out the Medical Release and Permission Form *

Yes
No

Leave this field empty