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Bush Play Connections
Family Registration Form
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Child Name, DOB and age
Child Name , DOB and age
Childs Name, DOB and age
Contact Number (s)
Facebook and Photos
Bush Play has an Instagram and Facebook. Please join us on these platforms if you would like
I give permission for photos to be taken of my child/children while at Bush Play if they are happy for that to happen
I am happy for photos taken to be used by Keren both online and in print for future Bush Play promotion
Please read then date and sign below
1.Sole Risk. Each family participating in Awakening Educations Bush Play Connections Programs participates solely at their own risk with understanding of these risks. Families will not hold Awakening Education or any of its educators, staff, volunteers or members liable for any personal injury or loss of property in any way arising as a consequence of being part of Awakening Educations Bush Play Connection. 2. Insurance. Awakening Education Consultancy holds current Public Liability Insurance and recognises that outdoor play and adventures fun holds elements of personal risk. Awakening Education, its educators, staff and volunteers ensure risk assessments are carry out and sound procedures and practices are in place to oversee the safety and well-being of all participants. 3. Bush Play Connections participant responsibility. I am aware that whilst attending and participating in Awakening Education Bush Play Connections the care and supervision of my child is my responsibility. I acknowledge that Awakening Education is not a provider of Emergency Services (medical etc.) and that accredited Emergency Services will be contacted to assist me and my children should they be required and that any costs associated with this action are my own responsibility. 4. Waiver of Liability I, the undersigned (Parent/Carer), agree to indemnify Awakening Education or any of its educators, staff or volunteers against any claims, demands, actions, proceedings, judgments, liabilities, loss damages, costs and expenses (losses) arising from accident, injury (whether or not fatal), illness or damage to any person or property whatever in any way arising as a consequence of participating in Awakening Educations Bush Play Connections. By signing below, I hereby acknowledge that I have read and accepted the above information and guidelines All personal information provided will be handled confidentially in accordance with the Privacy Act 1988.
Signature Name (Please Print)
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