BRANCH Junior Water Carnival – Sun 30 Jan '22. Entries close 8pm Fri 14th Jan '22. CLOSED.

• Childs Name
  First Last
• Age Group*
  Under 8Under 9Under 10Under 11Under 12Under 13Under 14
• Child's Gender*
  MaleFemale
• 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*