REGISTER NOW REGISTRATION IS NOW OPEN First Name of Teenager Last Name of Teenager Date of Birth Gender Female Male Your Teenager's Weight in Kilograms Your Teenager's Show Size (UK Size) Child 7 Child 8 Child 9 Child 10 Child 11 Child 12 Child 13 Child 13.5 Adult 1 Adult 2 Adult 3 Adult 4 Adult 4.5 Adult 5 Adult 5.5 Adult 6 Adult 6.5 Adult 7 Adult 7.5 Adult 8 Adult 8.5 Adult 9 Adult 9.5 Adult 10 Adult 10.5 Adult 11 Adult 11.5 Adult 12 Adult 12.5 Adult 13 Adult 13.5 Adult 14 Adult 14.5 Adult 15 Adult 15.5 Your Teenager will: Ski Snowboard None – Going for the Fun! Clothing Hire Jacket & Pants $45 excl GST Helment $25 excl GST Goggles $30 excl GST Don't need any. Cellphone Home Address Medical / Dietary Conditions: Are there any medical conditions or medication/food allergies (e.g. antibiotics/gluten free) that we should know? Put 'NO" if there aren't any OR tell us what we should know. Parent / Caregiver Details Emergency Name: If different from above. Emergency Phone Number Alternative Emergency Name / Number VIDEOS & PHOTOS: As you can understand, in this modern world, we take lots of photos and videos and use it on social media outlets, highlights videos, share with people and companies that support us. We use common sense and are sensible about it. As you know, we don't have control over it when on social media and will do everything in our power to protect your child's privacy. It has become increasingly difficult to exclude people from it. We ask that you communicate with us if you want us to exclude your child from an individual photo or video but we cannot do that with any group photos, videos, etc . . . Gotcha! Other Are you the parent / caregiver of the teenager in this form? By ticking the box below you confirm that you are an adult and the legal person responsible for the above named teenager and assume all legal and moral responsibility for filling in this form. YES DISCLAIMER: As the parent/caregiver of the above named student, I give my permission that he/she attends the above mentioned event. I understand that: the organizers run activities which carry a risk of injury if carried out without due care or in disregard of instructions; whilst all practicable steps will be taken to ensure the safety, organizers accept no liability for any loss, injury or damage of property or person, whether arising through their negligence or otherwise. My child agrees: to obey the event rules; follow instructions given by the leaders; notify them of any hazard or potential hazard spotted; tell them if they can’t participate in any activity; not do anything which may put them or others at risk of harm. In the event that any medical attention needs to be sought, I understand that this will be my financial responsibility and I will be contacted at the emergency contact number above. I understand that in this day and age filming & photography is a normal thing and the organizers might post it on the social media and I accept that, otherwise I will inform them at the the time of registration if this is against my will. YES PAYMENT: Unless otherwise agreed I will pay the price of $399 (excl GST) + clothes hire, if any, to Legacy Youth at the time of registration and I do understand that registrations will close on 20th June, midnight. I read and understand the refund policy is in accordance with the T&Cs on the flyer. AGREE ACT OF KINDNESS: I understand that it is difficult for some teens to go to such a great event despite the fact that they fundraised and worked hard to get there. I would like to make a tax deductible donation on top of my child's fees to support someone in need. Please send me a donation receipt for the following amount: $50 $100 $200 $400 Other You will be sent an invoice via PayPal within 24 hours of submitting this registration form. Got it! What is your child's hoodie size? XS S M L XL XXL Send
