PARENTAL CONSENT AGREEMENT FORM Mana Tangata Tech Day | Saturday February 10th 2018 | 10am - 2pm
PLEASE FILL OUT ONE FORM PER CHILD
Parent/Guardians information
Parent/Guardians name *
Your answer
Parent/Guardians email address *
Your answer
Permission is granted for my son/daughter to participate in the OMGTech! Rangers event *
My child will be attending this session: *
Child attending information
Child's first name *
Your answer
Child’s surname *
Your answer
Child's age *
Gender of my child *
School my child attends: *
Your answer
Terms and conditions of attending:
I acknowledge the following: *
Required
Medical & emergency information
My child has the following food allergy
Your answer
My child has the following medical condition & treatment plan:
Your answer
My child has the following learning disability & management plan:
Your answer
Emergency contact 1 name and number: *
Your answer
Emergency contact 2 name and number *
Your answer
Collection of children
Children will only be released to people authorised on the enrolment form or as notified by parents.
Names of people authorised to collect the child from the programme *
Your answer
Name of any person who is specifically not authorised to collect the child - and the reason, (the reason must be significant and evidence provided, eg custody, access or protection order)
Your answer
Other
Any other questions or information you would like us to know?
Your answer
By registering your child to attend an OMGTech! event you are automatically added to our mailing list to hear about future OMGTech! Rangers events.
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