Kiwiana Tours High School Permission Form

Acknowledgement
Parent Acknowledgement: By checking below I agree to the following*

I hereby agree and give permission for my child to take part in travel programmes that Kiwiana Tours offers and any of the activities checked on this permission form. I confirm that the details provided are correct and that I understand the following conditions apply: Acknowledgement of Risk: I understand that there are risks associated while travelling and with other activity operators and these risks cannot be completely eliminated. Kiwiana Risk assessment is available for your reading from our office. I know I can ask any questions from Kiwiana Tours about the travel and activities my child may be involved in, to gain a better understanding of the risks involved. I understand that Kiwiana Tours does not accept responsibility for loss or damage to personal property and that it is my responsibility to check my child's travel insurance policy.
Parents Signature*

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Parent's Full Name *

First NameLast Name
Date signed*

DayMonthYear
Date
Student Acknowledgement: By checking below I agree to the following*

I confirm that I have read this permission form and agree to follow the rules and instructions of the Kiwiana Tours leaders while on tour. I understand that this trip is run as a school trip and school rules apply; NOT permitted - Drinking alcohol, smoking or vaping on this tour, even if you are 18 years or more.
Student signature*

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Student Full Name*

First NameLast Name
Date signed*

DayMonthYear
Date
Kiwiana Tours abide by the NZQA Code of Practice for the Pastoral Care of International Students and are Qualmark certified.

Kiwiana Tours 2009 Limited | 42 Couldrey Crescent, Red Beach, Auckland 0932 New Zealand
www.kiwianatours.com | Tour leaders: Ph Catherine 02102703611 Ph Dave 0272030403
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Kiwiana Tours Parent Permission Form

Parent/Legal Guardian Contact Details

Homestay Contact

Student's Food Requirements

Student's Medical Information

Tour and Activities Permission

Acknowledgement