SOFTBALL

Your Local Club, ClubsNSW Regional Academy Games

Athletes Full Name:
Parent / Guardian Contact Name:
Parent / Guardian Contact Number:
Alt. Emergency Contact Name:
Alt. Emergency Contact Number:
Sport:
Dietary Requirments:: If the athlete has any special dietary requirements, please list. IF NIL write N/A
Medication:: If the athlete takes any medication. List frequency - dosage. IF NIL write N/A
Medical Conditions:: 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 2020 Your Local Club, ClubsNSW Regional Academy Games as part of the South West Sydney Academy of Sport, held in the Hunter Region on the 3rd - 5th 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 receipt of the Athlete Scholarship levy and the Academy Games tour 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.
Agreement:: I Understand and Agree
Parent / Guardian Name:: By writing your name you are signing to say that you have read and understood the consent form.