LifeSmarts Organization/School Release Form 2025

LifeSmarts Organization/School Release Form

This form allows your team to participate in live or virtual LifeSmarts competitions on the state and/or national levels. To be eligible to compete at the next level, release forms are required from all members of your LifeSmarts team including coaches, as well as the Organization or School your team represents. Please fill out the Organization / School Release form below:

Organization/ Club/School*

Team Name*

EX: County High School; Example High FCCLA; Example County 4-H Contact Cheryl at cherylv@nclnet.org if you have questions.

School or Organization's Address*

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

Principal / Administrator / Organization Official name that approved your teams' participation in National LifeSmarts Championship*

Prefix First Last

Coach Information

Coach's Name

First Last

Cell Phone Number*

Email*

Does your team have an assistant coach?*

Yes
No

Assistant Coach's Name

If you are bringing an assistant coach with your team, enter their information. IMPORTANT: This person must already be resigtered as an Assistant coach with your team at LifeSmarts.org

First Last

Cell Phone Number*

Email*

Team Member Information

Team Captain Name (Required)*

First Last

Student Cell Phone Number

Student's Permanent Email Address (no school emails)*

Grade level*

Student's Gender*

Team Member 2 (Required)

Team Member 2 Name*

First Last

Student Cell Phone Number

Student's Permanent Email Address (no school emails)*

Grade level*

9th
10th
11th
12th

Student's Gender*

Participant 3 (Required)

Team Member 3 Name*

First Last

Student Cell Phone Number

Student's Permanent Email Address (no school emails)*

Parent / Guardian Emergency Contact (Participant 3)*

Enter the name, cell phone number and email of at least one parent/guardian for this participant.

Grade level*

9th
10th
11th
12th

Student's Gender*

Team Member 4 (Required)

Team Member 4 Name*

First Last

Student Cell Phone Number

Student's Permanent Email Address (no school emails)*

Grade level*

9th
10th
11th
12th

Student's Gender*

Team Member 5 (optional)

Team Member 5 Name

First Last

Student Cell Phone Number

Student's Permanent Email Address (no school emails)*

Grade level

9th
10th
11th
12th

Student's Gender*

Accomodations

Dietary Requirements or Food Allergies*

Does anyone on your team require special meals due to dietary requirements or food allergies?

If yes, please provide name(s) and describe their dietary requirements / food allergies:

School / Club / Organization / Group Representative Name and Title*

School / Club / Organization / Group Representative Signature*

Please type name below. Typing the name signifies you have their permission to submit this form and verifies all the information is correct.

LifeSmarts Organization/School Release Form 2025