Duke of Edinburgh's Hillary Award

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Permission Agreement for Award Participants

Student's full name:

Form Class:

Award Scheme:

Bronze Award Scheme. I understand $110 will be charged to my account.

Silver Award Scheme. I understand $110 will be charged to my account.

Gold Award Scheme. I understand $145 will be charged to my account.

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Marsden Year 10 Bronze Award Scheme Requirements

Yes, I have read the Marsden Year 10 Bronze Award Scheme Requirements sent by email to parents.

Yes, I understand the commitment needed to fulfill the requirements for each section of the Award.

I understand the prerequisites for the qualifying Bronze tramp in November are:

Yes, attending the training during lessons.

Yes, reaching the required minimum level of fitness.

Opt Out of Bronze Award Scheme

I wish to opt out of Bronze Award Scheme

Optting out? Please give reason:

Parent's name:

I give permission for the above amount to be disbursed to my account.

Yes

Date:

YYYY

Thank you for completing this form.

ALL registrations are online at www.onlinerecordbook.org

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