Child Registration

Family Contact Details *

First Name

Last Name

Name of additional Parent/Guardian (if applicable)

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child #1 Information *

First Name

Last Name

DOB *

MM

DD

YYYY

Child #2 Information

First Name

Last Name

DOB

MM

DD

YYYY

Child #3 Information

First Name

Last Name

DOB

MM

DD

YYYY

Child #4 Information

First Name

Last Name

DOB

MM

DD

YYYY

Photography Permission *

I understand that my child/children will be photographed or filmed by the club during program activities. I understand that the images and/or video of any child/children may be used for general club promotion and may be used in print media and/or be uploaded to the club website and social media pages. I understand that the club will only be using/posting these images strictly for club correspondence and club promotion only and that only my child/s first names will ever be used, if at all. I understand that the club is not responsible for who or what comments are made on any club posts made on social media.

Yes

No

Medical Permission *

Do you give permission for the Club to arrange for your child/children to attend the Thredbo Medical Centre should they sustain any injury or accident during the course of the program? By selecting 'yes' you agree that you understand that all associated costs to be covered by yourselves.

Yes

No

Acknowledgement *

As the parent/guardian of all child/ren registering in this form, I/we acknowledge that: (A) The Club is voluntary, with no assets and relies solely on the voluntary contribution of the committee, the responsible conduct of the children and full cooperation of the children's parents and guardians; (B) The Club Officials assume a very significant responsibility in respect of all the children for each outing; (C) Skiing is a dangerous activity which requires great care and consideration by each child in regard to his or her own safety and the safety of others. (D) The club reserves the right to prohibit any child from partaking in skiing if in the view of the Club the child has not behaved in a responsible manner, has refused an instruction from the Mountain Man or the instructors or any person acting on their behalf, and/or is not a financial member. (E) Disrespectful behaviour towards fellow squad members, coaches and committee members from either athletes or parents will not be tolerated. Our head coach, after consultation with squad coaches, has the final decision on placement and grading of athletes.

I agree

I don't agree

Indemnity *

As the parent/guardian of all child/ren registering in this form, I/we agree to indemnify and keep indemnified the Club and all officials of the Club in respect of any claim made against the Club arising out of any incident concerning my child during skiing.

I agree

I don't agree

Authority *

As the parent/guardian of all child/ren registering in this form, I/we shall inform the Club if our child suffers from any medical condition of which the Club should be aware. Further, we authorise the club to arrange for our child/ren to attend the Thredbo Medical Centre should they sustain any injury or accident during the course of the program.

I agree

I don't agree

Signed *

First Name

Last Name

Dated *

MM

DD

YYYY