GUARDIANSHIP OF MINOR FORM

Fremantle Arts Centre Acknowledgement and Guardianship of Minor Form

EVENT DETAILS: Thursday 5 December 2024, The Wallows

Full name of Minor(Required)

First Last

Full name of Minor 2

First Last

Full name of Minor 3

First Last

Minor date of birth(Required)

Minor date of birth 2

Minor date of birth 3

Home address of Minor(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home address of Minor 2

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home address of Minor 3

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Full name of Legal Guardian(Required)

First Last

Home address of Legal Guardian(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact number of Legal Guardian(Required)

Email of Legal Guardian(Required)

Enter Email Confirm Email