On this day of __October 16, 2088__, I do hereby give permission for ___Tenacius Salander___ to participate in the Dueling Club which will be hosted at Hogwarts School of Witchcraft and Wizardry.

___Tenacius Salander___ understands that the club is intended to help develop the necessary skills for successful and safe dueling. However, he also understands that due to the immersive nature of the club, injury is possible and may occur.

___Tenacius Salander___ has read the entirety of the Rules and Etiquette of the Club, and agree to all terms and conditions within. He also understands that ___Tenacius Salander___ will be committed to practicing safe and respectful dueling techniques, and will be held accountable for any deviation from the rules of the club and sportsmanship of the duel.

By signing this form, it is understood that ___Tenacius Salander___ will be enrolled in the Dueling Club and signed into the Dueling Tournament that accompanies the club. Further details as to the nature of the tournament and the club will be disclosed on the first meeting on November 13.

The following information is required about the participant.

Name: Tenacius Salander
Age: 11 1/2 years old
Year: First
House: Gryffindor
Would Like to Participate In: Meetings, Assignments and Challenges only. No Duelling with another person as he is too young and needs to learn control.

Signed,

__Stradivarius Salander___
(Father)