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Vivo Kids Camposaur Consent Form
- Parents are welcome to send us this consent form before/after course fee is paid.
- A form shall be submitted every time the child participate Vivo Kids Camposaur.
- If you have any questions, please contact Agora Customer Support Line 98196602.
- Course page of
Vivo Kids Camposaur
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* Indicates required question
Email
*
Your email
Parent Full Name
*
Your answer
Parent's Contact
*
Your answer
Child Full Name
*
Your answer
Child's DOB
*
MM
/
DD
/
YYYY
Child's Dietary Restriction
*
Halal
No Seafood
No Nuts
Other:
Required
Camp Start Date
*
MM
/
DD
/
YYYY
Camp End Date
*
MM
/
DD
/
YYYY
Please check the box below if you agree:
*
I hereby grant permission for my child to participate in activities "Supermarket Outing" and "Nature Walk" during the camp. I am aware that these activities are not conducted within the premises of Agora Colearning. I understand the nature of these activities and acknowledge that my child will be supervised by responsible coaches from Vivo Kinetics. I also confirm that my child is in good health and capable of participating in these outdoor activities. I release Agora Colearning and Vivo Kinetics from any liability and agree to indemnify them against any claims or injuries that may arise during my child's participation in these activities.
Required
Emergency Contact Person
*
Your answer
Contact Number
*
Your answer
Additional Notes from Parents
Your answer
A copy of your responses will be emailed to the address you provided.
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