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Introduction to Game Development in JavaScript and HTML5
Starting on Thursday 9th May from 3.30pm to 5pm - then every Thursday, until end of Term 2
Parental Permission form to register for Techspace Advanced Coding
MUST BE COMPLETED BY A PARENT OR GUARDIAN
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* Indicates required question
Email
*
Your email
First Name
*
Christian Name
Your answer
Surname
*
Family Name
Your answer
Age
*
Your answer
*
Please tick to confirm
I understand that there will be COST of $30 for attending the Advanced Coding Course
Required
Permission for my child to have his/her photo taken for use in related brochures, workbook, website, blogs or on Facebook.
*
Yes- I'm ok with pictures being taken of my child and for it to appear on blogs,Facebook etc
No - I would prefer no pictures to be taken of my child
In order to ensure the safety of your child while in our care please indicate any areas of concern or health issues that Staff at Techspace should be aware of
*
If yes - please provide details in the following section below (all information provided will be kept confidential)
Yes- there are health issues that you should be aware of
No - My child has no health issues that you need to be aware of
Heath issues - Details
If you answered yes above, please provide information on the condition and procedures Techspace staff need to be aware of.
Your answer
*
I give permission for staff to seek medical assistance in the event of an emergency
Are there any other issues relating to your child’s safety that we need to know about? (eg. custody arrangements, etc)
*
If yes - please provide details in the following section below
Yes
No
Other issues - Details
If you answered Yes above - please provide information Techspace staff need to be aware of
Your answer
Emergency Contact - Name
*
In the first instance contact
Your answer
Emergency Contact Phone No.
*
Your answer
2nd Emergency Contact- Name
*
Your answer
2nd Emergency Contact Phone No.
*
Your answer
*
Please tickto confirm
I have read and understood the above participation requirements and I give my express permission for my child/student to participate in Code Club:
Name of Parent/Guardian completing this form
*
Your answer
Parent/Guardian Contact Phone.
*
Your answer
Parent/Guardian Contact Email
*
Your answer
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