Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 3 Parent/Guardian Photos Name *FirstLastEmail *Phone *Age *School or Parish NameHow did you hear about this event?SchoolSocial MediaYouth GroupFriendFamily MemberChurchDietary RequirementsNextEmergency Contact *FirstLastRelationship to ParticipantEmergency Contact Phone Number *Parent/Guardian Consent *I am the parent/legal guardian of the participant and give permission for them to attend and participate in this event.I authorise the event organisers to seek appropriate medical treatment for my child in an emergency if I cannot be contacted.Arrival and DepartureI will arrange for my child to be collected at the conclusion of the event.ORI give permission for my child to leave the event independently at the conclusion of the day.Photos & Video Consent *Yes – I give permission for photographs and/or videos of my child to be used by the organisers for promotional and communication purposes.No – I do not give permission for photographs or videos of my child to be used.Parent/Guardian Name *Parent/Guardian Signature *Date *NextOptional DonationYes, I would like to make an optional donation of $15 to help cover event costs.NoPayment MethodCredit/Debit Card – Secure Online PaymentInternet BankingStripe Credit CardCardName on CardInternet Banking Information Family Life International Account: 02-0248-0211768-00 Reference: Surname Note: Please get in touch by phone or email (admin@fli.org.nz) so that we can watch our account for your gift in order to acknowledge receipt. Thank you for your donation! We look forward to seeing you at the ‘Embracing Human Dignity’ Catholic Youth Event! You are now in the draw to win an epic prize! Thank you for your Registration! We look forward to seeing you at the ‘Embracing Human Dignity’ Catholic Youth Event! You are now in the draw to win an epic prize! Submit Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Like this:Like Loading…
