Hillary Outdoors Medical and Consent Form
Hillary Outdoors Education Centre - Tongariro
Which course would you like to book on?
Sunday 27 September - Friday 2 October 2020 - Holiday Action Challenge
Sunday 13 December - Friday 18 December 2020 - Holiday Action Challenge
Saturday 12th December - Saturday 19th December 2020 - Leadership (must be at least 16)
First and Last Names
Age 14-18 years, on first day of course
Date of Birth
Please tick the box if you do NOT want to receive information about other courses at Hillary Outdoors. At no time will we ever sell or provide your information to anyone else.
I do not want to receive information about other courses
Are you completing the Gold Duke of Edinburgh Residential Award? If you are unsure, please select 'No'.
Page 1 of 3
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service