Permission Form Name(Required) First Last whose relationship to me is 18(Required) Person named above is over 18 years of age. Permission(Required) I give my permission for the above named to make dental or emergency medical decisions on behalf of my listed children. Child 1 First Name Last Name Child 2 First Name Last Name Child 3 First Name Last Name Add Add additional children List additional childrenParent or Legal Guardian This serves as your legal signature.EmailThis field is for validation purposes and should be left unchanged.