YOUTH LOG-IN SHEET
YEAR ___2014___
Volunteer Name______________________________________
Home Phone_____________________
Address____________________________________________
Emer. Phone_____________________
City & Zip__________________________________________
Parent Name_____________________
Please note, check this box ONLY if you need a letter documenting your service hours. Please be sure the
above information is complete and legible.
Youth under the age of 16 must be signed in and out daily by a parent, guardian or another person listed
below. Youth will not be released to anyone whose name is not listed.
I, ________________________________(printed name) ____________________________(signature)
____________________(relation to youth) authorize the persons listed below to deliver and/or pick up
my child (under age 16) at The Nightmare at Beaver Lake. Please include yourself among those listed.
1 ______________________________________ 3 ______________________________________
2 ______________________________________ 4______________________________________
Youth, ages 16 and 17 only, must have written parent/guardian permission below to sign themselves in
and out of the show.
I,_____________________________________(please print), authorize my youth volunteer, age 16 or 17,
to sign himself or herself in and out of The Nightmare at Beaver Lake.
Parent/Guardian Signature _________________________________
Date
Time In
Revised 1/23/13
Signature
Phone (if other
than above)
Time Out
Signature