SWSRC: Enrolment Form

Enrolment Form – Youth

Please have your parent/guardian fill out the form below:

Does your child identify as (Aboriginal, Torres Strait Islander, Both, Neither)

Please describe any medical conditions (e.g. disability, allergies, illnesses):

Does your child have any dietary requirements?
(e.g. gluten free, allergies, vegetarian etc)

(We will be providing morning tea and lunch)

Parent/Guardian Details:

In case of emergency and the above person cannot be contacted:

PHOTO CONSENT: Do you give consent for SWS Recovery College (MDS), Wollondilly Council, WSNC and Headspace to take photographs of your child on the day of the event? Note: images may be shared on social media, website, and future promotional material.

DATA CONSENT: Do you give consent for SWSRC (MDS) to provide your de-identified demographic data (no names or contact details) to Wollondilly Shire Council and our funding body, SWS PHN? (For more info, please refer to our website: https://swsrecoverycollege.com.au/frequently-asked-questions/)

Do you give consent for SWSRC (MDS) to provide your de-identified demographic data (no names or contact details) to Warragamba/Silverdale Neighbourhood Centre whom reports de-identified data to their funding body NSW Government Department of Communities and Justice.

COVID-19: I understand that training facilitated at non Macarthur Disability Service venues (e.g. Bargo Hall) does not require vaccination (unless it is a venue requirement) and it is possible that my child may interact with non-vaccinated young people.

I understand that it is my responsibility to ensure that my child does not attend if feeling unwell or showing flu-like symptoms.

Electronic Signature:

Parent/Guardian Signature:

Youth Details:

Parent/Guardian Details:

Consent:

Electronic Signature:

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