Y - Victory Friday play session
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Player Profile
Name
First Name
Last Name
D.O.B
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Day
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Month
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
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Preferred Game. Minecraft, fortnite, rocket league
Do you have a discord account.
Does your child have any allergies? (Yes/No), If yes, please specify:
Do you have any medical needs or take any medication regularly?
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Parent Info and Consent
Name
First Name
Last Name
Phone Number
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Area Code
Phone Number
Do you give parental consent to participate? [Yes / No]
Do you give parental consent to participate for your child to play the following games, Fortnite, Rocket League and Minecraft
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By signing below, I agree to respect other players, follow group rules, and bring my best attitude to every session. I understand this is a safe, inclusive space for everyone to enjoy gaming together.
Date Signed by Young person
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Day
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Year
Date
I give permission for photos/videos to be taken for documentation or promotional purposes (anonymised where required). (Yes / No)
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