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Rooted Anime Hub
A new group for Anime lovers in school years 7-13
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Email
*
Your email
Name of attendee (young person)
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Emergency contact (name)
*
Your answer
Emergency contact (number)
*
Your answer
Any medical or additional needs (including food allergies) that we may need to know:
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I give permission for the young person named above to attend the Rooted Anime hub
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No
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I give permission for photographs to be taken of the young person named above, to be used on:
SUMT Website
SUMT Social media
None of the above
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I give permission for video to be taken of the child named above, to be used on:
SUMT Website
SUMT Social media
None of the above
Clear selection
I give permission for an SUMT staff member to drive my child home, in case of emergency or pre-arranged agreement
Yes
No
Clear selection
I give permission for my young person to make their own way home at the end of the session
Yes
No
Clear selection
A copy of your responses will be emailed to the address you provided.
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