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Irish Schools Lifesaving Competition 2024 -
Designated Adult Form
Event Address:
Belvedere College, Dublin
Date:
Saturday 24th February 2024
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Designated Adult Form
Any member
under the age of 16 MUST
be accompanied to all competitions by a parent or guardian
OR
have completed this Designated Adult Form. Forms must be submitted 24 hours in advance of the competition.
Member Name
*
Your answer
Member DOB
*
MM
/
DD
/
YYYY
Parent/Guardian Name
*
Your answer
Parent/Guardian Mobile Number
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Permission
I give permission to the
adult named below
to take my child to and from the RLSS Branch Lifesaving Competition 2023 in Belvedere College, and be responsible for the safety of my child for the duration of the competition.
*
Your answer
Designated Adult Contact Number
*
Your answer
By submitting this form, you confirm that both you as the legal guardian of the child named, your child and the adult nominated, are all aware that this is a personal arrangement and is not the responsibility of Poseidon Lifesaving Club.
I Agree
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