2019 GIRLEDWORLD WOW SUMMIT EMERGENCY CONTACT FORM

We want to ensure the girledworld WOW Summit 2019 at the University of Sydney is a safe event for all attendees.

It is therefore important that we have emergency contact details for all students attending who are unaccompanied by an adult on either day of the Summit (Friday February 15 and/or Saturday February 16), 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

First Name

Last Name

Name of child attending event

First Name

Last Name

School

Year Level

Relationship to the child

Contact Phone

(###)

###

####

Contact Email

How did you hear about Girledworld?

Food allergies

Does your child have any serious food allergies?

Yes

Medical conditions

Does your child have any medical conditions that we should be aware of for the purposes of the event?

Yes

Please provide details on your child's food allergies/medical condtions

Informed Consent

I understand that I am providing consent for my child’s participation in the girledworld WOW Summit 2019 at the University of Sydney. I confirm I have read and have understood the attached information, which outlines the girledworld WOW Summit 2019 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 2019 at the University of Sydney is a supervised event. It is expected that students will not leave the event premises for the duration of the event. If attendees do leave the event premises throughout the duration of the event, 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 attended to in the initial instance by a member of the event staff, and emergency services will be called immediately as first point of first aid administration. Event photography/videography: The girledworld WOW Summit 2019 will be captured by professional videographers and photographers. I consent the possibility of my child being photographed/videoed 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 girledworld WOW Summit 2019 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 girledworld and give permission for my child to participate in the girledworld WOW Summit 2019 at the University of Sydney.