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Ready. Set, Goal Consent Form

SETS Activity Consent Form- Ready, Set, Goal

Ready, Set, Goal Consent Form

Ready, Set, Goal gives the opportunity for your child to learn new soccer skills and have matches with other schools! MCCGC staff with be coaching on Mondays from 3-5pm (within the school term) and food will be provided.

First and last name

Full Address (i.e. 10 Happy Street, Labrador, 4215)

Gender
Female
Male
Other

Parent/Guardian contact number

Student date of birth

Emergency contact name

Emergency contact number

Relationship

Todays date

Medical consent

Heart Problems

Respiratory (eg asthma)

Allergies

Diabetes

Blood Pressure

Recent operations

Epilepsy

Back, Bone, Joint Problems

Tetanus Booster

Please detail any problems (medical or physical) which would limit the student's full participation.

In the event of an accident or illness, I authorize school staff to obtain or administer any medical assistance or treatment my child may reasonably require, including contacting my child's doctor.
Yes
I have provided the school with all relevant details relating to my child's medical or physical needs on enrolment and where relevant have updated this information
Yes
I accept liability for all costs incurred in obtaining such medical assistance or treatment (including any transportation costs) and undertake to reimburse the State of Queensland (via the Department of Education, Training and Employment) the full amount of any costs incurred on the child's behalf.
Yes
I give permission for my child to ride in the MCCGC bus to and from soccer coaching.
Yes
No

Photo Permission

I give permission to the Multicultural Communities Council Gold Coast Ltd (MCCGC) to use photos that have been taken of my child during Ready, Set, Goal activities. The photos will be used for the purpose of promotion and will continue to be used unless MCCGC is advised otherwise. I understand the photos can be used in any appropriate MCCGC publications, which include newsletters, flyers, brochures, the MCCGC website and MCCGC presentations.
YES, I give permission for my child's photo to be used
NO, I do not give permission for my child's photos to be used
MCCGC