Year 9 Camp 2022 - Medical and Parental Consent Form

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Please complete the following questions as we prepare for our annual Year 9 House Camps at Waharau Outdoor Education Camp, Kaiaua. Complete ONE form per student.

Student - First Name *

Student - Family Name *

Student's ID Number (this is the number at the front of their school email address) *

Please select your son / daughter's House *

Please select you son / daughter's Tutor Teacher *

Caregiver Name *

Caregiver Mobile Number *

Caregiver Email Address *

Alternative contact (name and mobile number) *

Name and phone number of Doctor *

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