PlayOn Participant Registration
The more information the clearer the outcome
PRIMARY PARENT/CAREGIVER
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First Name
Last Name
Primary Parent/Caregiver Contact email
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example@example.com
Primary Parent/Caregiver Contact Number
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-
Area Code
Phone Number
SECONDARY PARENT/CAREGIVER
First Name
Last Name
Secondary Parent/Caregiver Contact email
example@example.com
Secondary Parent/Caregiver Contact Number
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Area Code
Phone Number
City/Town/Suburb
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PARENT/CAREGIVER, are you interested in supporting PlayOn in a coaching/instructing/admin/Local or Regional Coordinator capacity? - please note that PlayOn is a community focused initiative and these roles are voluntary - amazing support from the project manager, PlayOn Team and wider community will be provided. No experience is necessary - enthusiasm and desire to provide for our tamariki and rangatahi are more essential (please select all that apply to you).
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Coach
Admin
Instructing
Local Code Coordinator
Regional Coordinator
Sorry, I don't have the time right now but will get in touch if this changes
CHILD 1 RESPONSE
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
What sport/s or cultural activity/ies is your child is interested in (please list)?
PlayOn is a community initiative so we are looking at ways to make this a successful project and youth leadership is a key part of that plan - please let us know if your child is interested in coaching, managing, or administration of any of these options.
Coaching
Managing
Administration
Official
CHILD 2 RESPONSE
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
What sport/s or cultural activity/ies is your child is interested in (please list)?
PlayOn is a community initiative so we are looking at ways to make this a successful project and youth leadership is a key part of that plan - please let us know if your child is interested in coaching, managing, or administration of any of these options.
Coaching
Managing
Administration
Official
CHILD 3 RESPONSE
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
What sport/s or cultural activity/ies is your child is interested in (please list)?
PlayOn is a community initiative so we are looking at ways to make this a successful project and youth leadership is a key part of that plan - please let us know if your child is interested in coaching, managing, or administration of any of these options.
Coaching
Managing
Administration
Official
CHILD 4 RESPONSE
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
What sport/s or cultural activity/ies is your child is interested in (please list)?
PlayOn is a community initiative so we are looking at ways to make this a successful project and youth leadership is a key part of that plan - please let us know if your child is interested in coaching, managing, or administration of any of these options.
Coaching
Managing
Administration
Official
CHILD 5 RESPONSE
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
What sport/s or cultural activity/ies is your child is interested in (please list)?
PlayOn is a community initiative so we are looking at ways to make this a successful project and youth leadership is a key part of that plan - please let us know if your child is interested in coaching, managing, or administration of any of these options.
Coaching
Managing
Administration
Official
CHILD 6 RESPONSE
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
What sport/s or cultural activity/ies is your child is interested in (please list)?
PlayOn is a community initiative so we are looking at ways to make this a successful project and youth leadership is a key part of that plan - please let us know if your child is interested in coaching, managing, or administration of any of these options.
Coaching
Managing
Administration
Official
CHILD 7 RESPONSE
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
What sport/s or cultural activity/ies is your child is interested in (please list)?
PlayOn is a community initiative so we are looking at ways to make this a successful project and youth leadership is a key part of that plan - please let us know if your child is interested in coaching, managing, or administration of any of these options.
Coaching
Managing
Administration
Official
I am aware that police vetting will be required if I am appointed in a role with PlayOn that requires me to work with young people and I give PlayOn representatives consent to engage in this process.
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By clicking this box I understand and agree with the above statement
I am aware that this is a community initiative and will engage in all activities with PlayOn in an inclusive and non-discriminatory manner.
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By clicking this box I understand and agree with the above statement
I am aware that there is an element of risk in some activities, and by enrolling my child / children with PlayOn I am accepting these risks on their behalf.
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By clicking this section I understand and accept responsibility
I release and hold harmless PlayOn (including officers, officials, agents, and/or employees, other participants, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event) with respect to any and all injury, illness, disability, death, or loss or damage to person or property, whether arising from the negligence of PlayOn or otherwise, to the fullest extent permitted by law. *
*
By clicking this section I understand and accept responsibility
Additional Comments
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