CHILD CONSENT FORM

Parent Or Guardian Consent

I give approval for my child ……………………………………………. to attend our

up-coming retreat on (dates)…………………………………………………….

at Mowbray Park School Camp Centre, Picton.

Accommodation is very comfortable and all meals are of a high standard.

Your child will be participating in a range of fun activities aimed at developing the individual mentally and physically. The retreat also seeks to achieve a heightened sense of self-worth through individual and team challenges. Experienced Mowbray Park personnel will facilitate all our programmed activities.

Activities include the following:

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Waiver: In the event of an injury or illness to my child, I give approval to any necessary medical treatment carried out by a legally qualified medical practitioner. Should this be necessary, I understand I will be notified as soon as possible. I exclude all supervisory staff and all Mowbray Park paid and unpaid staff from any personal liability in respect of any injury or illness that may befall my child, while at the retreat.
Mowbray Park P/L Atf Mowbray Park Farm Holidays Unit Trust ABN 67 003 015 615
Signed: _____________________________ Name:________________________

Date:___________________