Parental Consent Form | Teen Empower Hour (Weekly sessions)
As a parent/guardian of this student, I give permission for my child to participate in the Teen Empower Hour online sessions, led by Daniel Merza.

I understand that:
- Sessions aim to empower, inspire and equip teens to become the leader of their life, achieve personal greatness, and maintain a positive wellbeing.
- Sessions are conducted on Zoom weekly at the designated time.
- Teens register ONCE at and once approved, will be emailed a link by Zoom to join the first session. The same link is to be used to join future weekly webinars, without the need to register each time.
- Parental consent is required ONCE for registration to be approved and will apply to all subsequent sessions, unless advised otherwise.
- Attendees will receive fortnightly post session emails with updates, and tips to keep them motivated.
- Parents will be included in Daniel's THRIVE series - an inspiring series of helpful hints, tips, insights and motivational nuggets sent via email once a fortnight - very short and sweet - to support parents on their journey, unless advised otherwise and prefer not to be included.
Sign in to Google to save your progress. Learn more
As parent/guardian, I understand the above and provide consent. *
First Name - Parent / Guardian 1 *
Last Name - Parent / Guardian 1 *
Email - Parent / Guardian 1 *
First Name - Parent / Guardian 2
Last Name - Parent / Guardian 2
Email - Parent / Guardian 2
First Name - Child 1 *
Last Name - Child 1 *
School - Child 1 *
Year Cohort - Child 1 *
Email - Child 1 *
First Name - Child 2
Last Name - Child 2
School - Child 2
Year Cohort - Child 2
Email - Child 2
First Name - Child 3
Last Name - Child 3
School - Child 3
Year Cohort - Child 3
Email - Child 3
Clear form
Never submit passwords through Google Forms.
This form was created inside of DANIEL MERZA. Report Abuse