Temporary Guardian Release

This form must be returned with your Registration Form

Minors (under the age of 18) attending LPA’s Trifecta 2015 Spring Regional April 23-26, 2015 in Mesa, AZ without their parents or legal guardian, must have a temporary guardian designated for the weekend conference. The parents of the unaccompanied minor who is attending the Trifecta 2015 Spring Regional must fill out the form below. The temporary guardian must be at least 21 years of age.

This form must be included with your registration form or your packet will be deemed incomplete and returned to you without processing. A separate form must be completed for each minor.

(To download the PDF, please click here)