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Lorne SUFM Registration - Parent Not Attending

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Participant Details

Participant 1
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I understand that photos may be taken during the program activities which include my child. I give my full permission to Scripture Union Victoria to use, reproduce and publish in their communication media, any photo or video which includes my child/ward. I understand that Scripture Union Victoria will never identify my child/ward in any image used. I acknowledge that no fee or remuneration will be provided for the participant's appearance in any such communication media.


   

Please let us know of any conditions which may require special attention, including but not limited to: behavioural issues, diabetes, food allergies, asthma, or conditions such as epilepsy. By signing this waiver you are releasing us to seek any medical attention we see as necessary for your child.

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Parent/Guardian Details

Parent/Guardian 1
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Further Information

Child drop-off/collection and transportation
The authorised parent or guardian must sign their child(ren) in to the program each day.
The authorised parent of guardian must sign their child(ren) out of the program each day unless they specify that the child has permission to leave the program alone or with another designated person.

Behaviour Guidelines
Participants are required to behave in a safe and respectful way towards other participants and the program team.
Failure for any participant to uphold the behaviour guidelines may result in the following:
1. Scripture Union Victoria team members will remind the child/young person about appropriate behaviour and sport specific instructions.
2. If inappropriate behaviour persists, either:
- Supervision will be increased, for example buddying up the participant and a team member (in a ChildSafe appropriate manner).
- The participant may be removed from the group for a short time (5-10 minutes) to give them time to reflect on their actions.
- Depending on the severity and persistence of the misbehaviour, parents are contacted
- If a child's behaviour does not improve despite all efforts, the team member may have to ask the parents to remove the child from the program. This is an extremely rare situation and would only ever be a last resort.
Scripture Union Victoria reserves the right to refuse or conclude a participant's involvement in the program if there is a breach of the Program Behaviour Guidelines (see above). Any costs incurred as a result of damaged property will be charged to the parent/guardian.

Release
I am aware that program activities carried out by Scripture Union Victoria programs may involve risk and in permitting my child/ward to participate in such activities I do so at my child/ward's own risk. I recognise that such activities may cause physical injury and I am aware of the risks involved.
I release Scripture Union Victoria, its volunteers, and its staff from all liability arising from injury or damage, including to property, however caused, arising out of my child/ward's participation in any of the activities offered by Scripture Union Victoria.
I agree to assume the risk of any injuries, damages, or loss, regardless of severity, that my child/ward may sustain as a result of being a participant in these activities.
I authorise Scripture Union Victoria staff and volunteers to obtain such medical assistance as they deem necessary, and I agree to meet any expenses incurred, including transport.

Scripture Union Victoria is committed to the highest standards of child safety and care. To see our policy statement, click here, or speak to the program director.

To view the SU Victoria Privacy Policy, please click here.

COVID-Safe Notice

  • Each participant (or participant's family if appropriate) is asked to do a symptom self-assessment and not attend if they (or their child) are unwell or have been instructed to isolate or quarantine
  • Participants must maintain at least 1.5m physical distance between those from other groups at all times, as instructed by Scripture Union Victoria volunteers
  • To minimise movement, participants must stay within their allocated spaces or seats where practical, as instructed by Scripture Union Victoria volunteers
  • Government requirements for face coverings must be observed if required
  • Please ensure that cough etiquette and personal hygiene measures are observed
  • The information submitted in this form is stored by Scripture Union Victoria, and will be supplied to the Victorian Government if required for contact tracing purposes due to COVID-19

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