Silver AYP Consent and Information Form
Please complete this form by 13 September 2019
Student Name
*
First Name
Last Name
Tutor Group
*
Date of Birth
*
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Day
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Month
Year
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HKID Number
*
Emergency Contact (Parent/Guardian Name)
*
Mr.
Mrs.
Ms.
Dr.
Prof.
Prefix
First Name
Last Name
Emergency Contact Number (Home, Work, Mobile)
*
Parent/Guardian Email Address
example@example.com
Student Mobile Number
*
Student Blood Group
*
I will pay at the main reception a cheque for $550, made payable to 'Discovery Bay International School Ltd by 20 September 2019
*
I give my permission for my child/student to participate in the HKAYP, which will involve expeditions and overnight camps as detailed in the school diary.
*
I acknowledge the inherent risks involved in expeditions to rural areas. .
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I acknowledge that I have been advised to protect my child's ankles by purchasing a strong pair of walking boots.
*
I acknowledge that at times, in suitable surroundings, the participants may not be under direct supervision.
*
I acknowledge that student attendance to the weekly meetings is mandatory and that regular absence will result in withdrawal from the expeditions, owing to safety considerations.
Signature:
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Parent/Guardian Name
Date:
*
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Day
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Month
Year
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Submit
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