Academy Games 2019

ClubsNSW Academy Games. Parent Guardian / Consent Form

Example 15/06/2006

If the athlete has any special dietary requirements, please list. IF NIL write N/A

If the athlete takes any medication. List frequency -dosage. IF NIL write N/A

If the athlete has any medical conditions, please list. IF NIL, write N/A

I (the parent/guardian) give permission for my child (the athlete) to attend the 2019 Your Local Club, ClubsNSW Regional Academy Games as part of the South West Sydney Academy of Sport, held in the Hunter Region on the 12th-14th of April.
I (the parent/guardian) understand that my child (the athlete) will travel with the squad to, from and during the event.
I (the parent/guardian) understand that my child (the athlete) will be confirmed on this tour upon the receipt of the full athlete levy.
I (the parent/guardian) understand that ANY medication that is brought on tour needs to be in a ZIP-Lock bag, clearly labelled with the athletes name and dosage required. I understand that this must be discussed with the program manager before getting on the bus departing from Campbelltown.

By writing your name you are signing to say that you have read and understood the consent form.

Please tick to verify that you are not a robot

 

PO Box 307 Macarthur
Square NSW 2560

Follow us