Mother Daughter Day

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Mother Daughter Day

24th Sept 2022

电子邮件地址 *

You are signing up for the Mother Daughter Day on SATURDAY 24th SEPTEMBER 2022. Meet at Grace Vineyard Beach Campus, 111 Seaview Road, New Brighton for morning activities including a Polymer Clay Earring Workshop and an afternoon in the Port Hills doing beginners Rock Climbing. Any queries, email: melissa.entwistle@yat.org.nz

Youth Name: *

Parent Name *

Address: *

Parent Cell phone: *

What school does your daughter attend? *

Emergency contact Name & cell number (not you): *

Any dietary requirements? *

nil if none

Any medical or other information staff should be aware of? *

nil if none

I will pay the $75 cost per couple online before the date Or pay what you can afford (you will receive the bank account details in a confirmation email) *

Yes

必填

I give permission for photos or videos taken on the day to be used appropriately to advertise YAT activities and future Mother & Daughter Days *

Yes

其他:

必填

I acknowledge that Youth Alive Trust and Adventure Specialties will do everything possible to keep you and your daughter safe in all activities, and have completed the necessary risk management. YAT does not take responsibility for your personal possessions, or any unacceptable behaviour outside what is deemed reasonable. *

Yes

必填

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