PARENTAL CONSENT AGREEMENT FORM Mana Tangata Tech Day | Saturday February 10th 2018 | 10am - 2pm
Parent/Guardians information
Parent/Guardians name *
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Parent/Guardians email address *
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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 *
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Child’s surname *
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Child's age *
Gender of my child *
School my child attends: *
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Terms and conditions of attending:
I acknowledge the following: *
Medical & emergency information
My child has the following food allergy
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My child has the following medical condition & treatment plan:
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My child has the following learning disability & management plan:
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Emergency contact 1 name and number: *
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Emergency contact 2 name and number *
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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 *
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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)
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Any other questions or information you would like us to know?
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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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