Junior Development Training 4.30-5.30pm at WAAS

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Child Name

Child Name

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Second Child Name

Second Child Name

DD/MM/YYYY

Third Child Name

Third Child Name

DD/MM/YYYY

Number, Street and Post Code

If you participate with a little athletics club.

If you do or do not participate in little athletics. But play another sport/s.

Includes Sibling Discount

I give permission for the above mentioned athletes image to be used by Sprinting Fast for promotional purposes. Participants and the general public will have access to view the photos/videos.

I, parent/guardian, in the event of an accident or illness suffered by my child, authorise the organisers to obtain, on my behalf, such medical assistance as my child may require. Organisers will not be liable for loss, damage or injury, to property or person, occasioned as a consequence of enrolment of any child or children in any Programs, and I acknowledge the exclusion of liability accordingly. The $3.80 concession cost for use of the WA Athletics Stadium, must be paid directly to Venues West as you enter. If a minimum number of 15 participants is not reached by closing date the event will be cancelled and a full refund will be issued.

Parents Name

Parents Name

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