2018 GIRLEDWORLD WOW SUMMIT EMERGENCY CONTACT FORM

We want to ensure the 2018 girledworld WOW Summit is a safe event
for all attendees.

It is therefore important that we have emergency contact details for all students attending unaccompanied by an adult on either Saturday 16 June or Sunday 17 June, and that we are aware of any serious food allergies or medical conditions.

This form must be completed prior to the event. 

 

Please complete the form below

Your name *
Your name
Name of child attending event *
Name of child attending event
Contact Phone *
Contact Phone
Food allergies *
Does your child have any serious food allergies?
Medical conditions *
Does your child have any medical conditions that we should be aware of for the purposes of the event?
I understand that I am providing consent for my child’s participation in the 2018 girledworld WOW Summit. I confirm I have read and have understood the attached information, which outlines the 2018 Girledworld WOW Summit event details. Student behaviour: I understand that in the event that my child’s behaviour poses a danger to themselves or others during an the event, they may be sent home. I further understand that in such circumstances I will be informed and that any costs associated with their return will be my responsibility. Leaving the event premises: The girledworld WOW Summit is a supervised event. It is expected that students do not leave the event premises for the duration of the event. If attendees do leave the event premises, a duty of care will no longer be owed once the student leaves the premises. Consent for emergency transportation: In the event of an emergency I consent to my child being transported in a privately owned vehicle driven by a member of the event staff. Emergency services will be called as first point of call. Event photography/videography: The girledworld WOW Summit will be captured by professional videographers. I consent the possibility of my child being photographed and/or visual images of my child being taken for use in girledworld publications, website or for publicity purposes without acknowledgment and without being entitled to any remuneration or compensation. Anaphylaxis Policy: I understand that the event organisers of the 2018 girledworld WOW Summit have sought to minimise the risk of students coming into contact with nuts and nut products. I agree to support this by not sending these products to the event. Parent Consent: By clicking “submit”, I confirm that I have read the information provided by the girledworld and give permission for my child to participate in the 2018 girledworld WOW Summit.