Guardian Consent

We need to know if you have guardian support and to specify who they are.






Emergency Contact Information








Medical Information:




 

I give permission for my child use and partake in MyNextLvl.
I give permission for medical attention to be sought in case of emergency.
I give permission for the use of my child’s contact information to only be used in emergency situations.
I give permission for my child to communicate directly with providers and healthcare facilities through MyNextLvl.