Parent/Guardian Supervision Form Event name * Event start date * MM DD YYYY Event end date * MM DD YYYY Person appointed in Loco Parentis * Loco Parentis contact number * Helm Name * Fleet & Sail Number * Helm Name Fleet & Sail Number Declaration * I appoint the above named person, who has agreed to act in loco parentis. He/she will be responsible for my dependant throughout the event. During the time that my child is afloat he/she will be available at the event venue I agree to the above Parent/Guardian name * Parent/Guardian contact number * Thank you.We will be in touch if further details are required