Parental Consent Form
The information supplied by you on this form will be treated as strictly confidential – an electronic version may be kept for the length of the course but then will be destroyed. We at Circle of Heka carry a WA Working with Children’s check and will make every effort to ensure your child is in a safe environment.
Email *
Teenagers Name *
Parent or Guardian Name *
In relation to the Teen Witchcraft 2 Day Workshop - Tuesday 13th and Wednesday 14th April 2021. Run by Lady Amaris & The Circle of Heka Coven.
Please tick the boxes below to indicate understanding.
This is a 2-day course on Witchcraft, 4 hours each day. This course is not designed to induct your child into a coven. Although it may be something your child wishes to pursue in the future. Covens don’t generally bring people into their groups until they are at least 18 years of age – the reason for this includes psychology, personal responsibility and a degree of maturity. As an example, the average age of our youngest members are mid to late 20's. *
Required
With the popularity of occult and witchcraft movies and a rising interest in witchcraft practices. When viewed from the Hollywood lense, witchcraft can often be seen in either an absurd or negative light. And can often be confused with fantasy theatrics, cult like behaviour and negative 'evil' and harmful practices. The Circle of Heka and the shop Heka Arcane Apotheca, are not the front face of a cult, nor do we condone or participate in negative harmful practices. *
Required
Please be aware that parents are welcome to sit in on this workshop with their children if they wish, free of charge. There will be someone with their Working with Children’s Check present at all times. Please also note, in an effort to create a safe environment for your child, I request that you let me know (this will be confidential) of any allergies, disabilities or ailments that your child has and you feel I should know for the safety of them and myself. *
Required
Health issues *
My child has the following injuries, disabilities, allergies:
Emergency Contact Name & Relationship *
Emergency Contact Number *
Parents can also organize to meet me in person or talk via email to discuss the content of this workshop further
I would like to organise a meeting with you to discuss *
Release and Waiver - I agree without reservation to the following:
My Email is my consent signature
If you like, your email address will serve as a signature. Or alternativaley you can print out, sign, scan and email to me. To the following email address ladyamarisheka@gmail.com
Your Email Signature *
My Signature
Date
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A copy of your responses will be emailed to the address you provided.
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