Band Camp Attendance Notification

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Student First Name *

Student Surname *

Instrument *

Band *

Concert Band

Senior Band

Junior Band

Required

Attendance notification *

My child will be attending for the entire camp.

My child WILL NOT be attending camp. Please provide a reason below.

My child can only attend part of the camp due to unavoidable circumstances. Please explain below.

Required

Overnight Stay Confirmation

My Year 5 or 6 child will be staying overnight on Saturday 29 May

Please provide reason for non or partial attendance

Emergency Contact Name *

Emergency Contact Number *

I give permission for the above-mentioned student to receive medical treatment in case of emergency. The parent will be contacted prior to treatment. *

Yes

Required

I agree that my child will behave according to the Behaviour Code of Conduct and agree to be notified if they do not respect the Code. Outcome may include the parent having to collect their child from camp. *

Yes. I agree

Required

I give consent for my child to be filmed, recorded or photographed for the purposes of publishing on Band website, newsletter and at band performance evenings. Names will not be published. *

I consent

I DO NOT consent

Required

I authorise that I am either the parent or authorised carer/guardian of the child named on this form and have the legal authority to approve the child's participation in Band Camp. *

Yes. I am the parent, legal guardian/carer.

Required

Relationship to child *

Parent

Carer/guardian

Required

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