Monday Fun Day Registration and Consent

Child's Name *

Child's Address *

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common.city

common.area

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Child's Birthdate *

Name of your child's School *

Child's Grade at School *

Parent/Guardian Name *

Parent/Guardian phone number *

Parent/Guardian Email Address *

Any special instructions to help make it the best time possible for your child, eg, allergies, special needs *

Do you consent to appropriate use by us of photographs taken on the program that include your child *

Yes

Are there any questions you'd like to ask us?

I understand that in filling in this form regarding my child’s participation in this event, that certain elements of the program could be physically and emotionally demanding. Furthermore, I understand that certain inherent risks and dangers may exist in the activities in which my child will be participating. I acknowledge that while the organisation and its leaders will make every reasonable effort to minimise exposure to known risks, all hazards and dangers associated with these activities cannot be foreseen or may be beyond the control of the organisation, its leaders and staff. *

I understand and give consent

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Monday Fun Day Registration and Consent