ICONZ for Boys

Name: ICONZ for Boys
Start: 2021-02-18T18:30:00+00:00
End: 2021-02-18T20:00:00+00:00
Location: Reima Centre Hope Hornby

February 18 @ 6:30 pm - 8:00 pm

|Recurring Event (See all)

Registration Fees*
T-Shirt
Price: $ 25.00 Quantity:
Cap
Price: $ 20.00 Quantity:
Total
$ 0.00
Child's Name*
First Last
Parent's Email*
Parent's Name*
First Last
Parent's Home Phone
Parent's Cell Phone*
Address*
Street Address Suburb City
Year at school*
Which school of attendance*
Child's Date of Birth
MM
DD
YYYY
ICONZ - Please register my son for*
Emergency contact (name and phone number)*
Any medical/dietary requirements?
If there are any medical or dietary requirements we should be aware of, please let us know.
Photo & Privacy consent - I consent*
- Yes
I understand that by filling out this form my information may be kept on file by Hope Presbyterian (and it's associated groups) to use for administrative purposes. I understand that photos from this event that may include pictures of me/others may be used by Hope Presbyterian (and it's associated groups) for promotional purposes.
ICONZ Consent*
- Yes, I give permission
I give permission for my son to take part in activities within our local community with the Unit Leaders. I understand that if any activities are to be undertaken further afield I will be notified as and when they occur.
Accident Liability*
- Yes, I understand
I understand that while ICONZ leaders will take all responsibility to ensure the safety of my son, they cannot be held liable for consequences resulting from any accidental injury while he is in their care.