DIGISKATE PERMISSION FORM

Date: 5th April 2019

Time: 7:00pm - 9:00pm

Location: Digi Roller Skate Rink (40-44 Johnson Rd, Hillcrest, QLD 4118)

Transport: Where possible we appreciate Parents/Guardians drop off & pick up children.

Cost: $12 *(Please bring extra money for Dinner or Snacks)

Parent / Guardian of Participant *
Parent / Guardian of Participant
Does your child have any medical conditions? *
Permission
I give permission for my child/children to attend Public Youth DigiSkate on the 5th April 2019. I give permission for authorized leaders to provide medical assistance at any time they consider necessary whilst my child is in their care. I acknowledge that I will be liable for any expense incurred in the treatment of my child. I also understand that while every reasonable precaution will be taken to ensure the protection of my child, I hereby release and hold harmless Public Youth leaders from any and all liability in the event of injury, accident or misfortune, damage or loss to their property. I give the adult leaders of Public Youth permission to transport my child in a private vehicle if the situation should arise. I also give the Leaders permission to act as a guardian on my behalf if I am unable to be contacted in an emergency. I understand that Public Youth events may be captured on photograph and video. Public Youth reserves the right to use this material during events and for promotional purposes.