Basketball Consent & Registration Form

Basketball Consent & Registration Form

This form should only be completed once per student, per sport.

Student Details

Student First Name*

Student Last Name*

Student Akina Class / Hub*

Year Level*

Select

What size shirt are you?*

Select

What size shorts are you?*

Student school email address*

Payment Option*

Please tick ONE option. If you need to arrange a payment plan, please contact the Director of Sports via email: sport@hastingsgirls.com

Select

Medical Conditions*

Please provide details of any medical conditions that we need to be aware of. It is really important that you disclose any medical conditions that may affect your safety (put N/A if not applicable)

Prescribed Medication*

I will ensure that prescribed medication is clearly labelled and, if required, will be handed to the teacher in charge (TIC) with administering instructions

Select

Parents / Guardians

Parent/Caregiver Name (first & last name)*

Parent/Caregiver Mobile Phone Number*

Phone

Parent/Caregiver Email*

Student Emergency Contact

Emergency Contact*

Enter students' emergency contact name (first & last name)

Emergency contact number*

Enter students' emergency contact number

Phone

Code of Conduct, Student Contract & Parent/Caregiver Contract

For more info, click here to view the HGHS Code of Conduct, Student Contract & Parent/Caregiver Contract: https://www.hastingsgirls.com/sport-sports-code-of-conduct/

Terms & Conditions

I have read the parent information form and agree to my daughter taking part in this activity. I understand that there are risks associated with involvement of this event and that the school will implement correct management procedures to eliminate, isolate or minimize these risks

I Agree*

I/We accept the terms and conditions (student contract, parent contract & code of conduct) outlined above

I Agree*

If my daughter is involved in a serious disciplinary issue, including but not limited to the use of illegal substances and/or alcohol, or actions that threaten the safety of self or others, she will be sent home at my expense

I Agree*

I agree to my daughter participating in the above tournament/competition. We have read the above information and we acknowledge the need for her to behave responsibly and her commitment to the team

I Agree*

Send me a copy of my responses

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