Big Night Out Hornby!
Emerge & CDN Trust are going to Mega Air!
Date: Tuesday 13th August
Pick up and Drop off at Hope Presbyterian 27 Aymes Road.
(No pick ups and drop offs at Mega Air)
Time: 6pm - 8.15pm

TERMS AND CONDITIONS
On Arrival please sign in at our welcome desk.
CDN Trust takes photos/video during activities for promotional use (including posting appropriate photos/videos to our websites and Facebook) On signing this form you also give consent for photos/videos taken on the night to be used by CDN Trust and Hope Youth
CDN & HY will have staff onsite who are qualified in first aid.

If you have any queries about these Policies or Terms and Conditions please contact Jasper at either
022 165 6633 or jasper@cdntrust.org.nz.

Staff and volunteers are trained in health and safety and leadership skills. We will always have at least one Leader trained in first aid on every program. You authorise us to administer any medical care urgently required.
This event is for young people who are in years 7-11 (generally aged 10-16). Staff to child ratio is max 1:10 (Leader/children) for activities at a base, and 1:6 for programme's away from a specific venue.
We are a Christian organisation and we may share some Biblical principles on this programme.
Please be aware that because safety is our first consideration our policy needs to be strictly adhered to. Parents will be phoned if their children are causing disruption to the programme. Where serious harm may occur the child/children will be removed immediately. Parents must be able to pick up their child from events/camps/programmes if necessary.
Our camps and programmes regardless of the weather, however certain activities may be weather and availability dependent. If we are forced to change activities on a programme due to weather or other circumstances we cannot refund fees.
Young people must wear proper (safe) clothing for all activities

CDN Trust wishes to collect the personal details for the purposes of program registration and evaluation. You have the right to access and check any details you have supplied. All the information gathered will be used in accordance with the Privacy Act 1993

Student First Name: *
Your answer
Student Last Name: *
Your answer
Gender: *
Date of Birth: *
MM
/
DD
/
YYYY
Address: *
Your answer
Suburb:
Your answer
E-mail:
Your answer
Year Level: *
Ethnicity: *
Dietary Requirements we should know of:
Your answer
Other Relevant Information CDN Trust should be aware of (Behavioural, Medical etc):
Your answer
Do you have pair of Grip Socks to bring for Mega Air ? *
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