Nipper Carnival Entry Form – BRANCH Junior Beach Carnival Sun 6 Feb ’22.

Nipper Carnival Entry Form – BRANCH Junior Beach Carnival

Sunday 6th February 2022

Entries close Thursday 27th Jan @ 8pm. NO LATE ENTRIES.

Program to come.
U9s to U14s, hosted by TBC.

Parents will be required to reimburse the Club for entry fees in the case of non-attendance or withdrawal from a Carnival.

BRANCH Junior Beach Carnival – Sun 6 Feb '22. Entries close 8pm Thurs 27th Jan '22.

Childs Name
First Last
Age Group*
Child's Gender*
Child Date of Birth

Day
Month
Year
Parent Agreement*
I agree to the Nipper Carnival terms and conditions
I acknowledge that my child/children are water proficient for the current season.

I acknowledge that my family do not have any symptoms associated with COVID-19 (e.g. fever, cough, sore throat, shortness of breath, sneezing, runny nose, loss of sense of smell etc)

You do not have COVID -19 nor are you awaiting the result form being tested for COVID.

You have not been in contact with any known or suspected cases of COVID-19 in the past 14 days.

You have not returned or been in contact with anyone else who has returned form overseas in the past 14 days.

I agree to Reimburse Queensie for the carnival entry fee if my child or children are a no show without reasonable explanation.
Parent Accreditation Agreement*
- I have either current officials or bronze qualification
- NO I am not accredited, we agree to pay carnival entry fee to club
We require parents to be either Accredited Officials as of 14/11/21 or Bronze Medallion Holders as of 31/10/21. Lead Age Managers and Head Coaches only exempt.
Parental Agreement for Water Safety or Official Roles at Carnivals*
- I agree as a competitor’s parent, I will act as water safety OR an official at 3 carnivals this season
IF NOT CHECKED nipper cannot be registered for carnival.
Availability for this Carnival
- I am available as water safety for this carnival
- I am available as an official for this carnival
Parent/Guardian 1 - Name*
First Last
Parent/Guardian 1 - Email*
Parent/Guardian 1 - please use Mobile format +61 410 555 555*
Parent/Guardian 2 - Name*
First Last
Parent/Guardian 2 - Email*
Parent/Guardian 1 - please use Mobile format +61 410 555 555*

Nipper Carnival Entry Form – BRANCH Junior Beach Carnival

Sunday 6th February 2022

Entries close Thursday 27th Jan @ 8pm. NO LATE ENTRIES.

BRANCH Junior Beach Carnival – Sun 6 Feb '22. Entries close 8pm Thurs 27th Jan '22.

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