REGISTRATION H4H | Skills Development

I confirm that I am within the age range of 11 to 18 years.

YES

Participant First Name

Last name

Participant Phone number

Participant Email

Participant Birthday

Day

Month

Year

Participant Address

Parent/Guardian Name:

Contact Information (Phone Number )

Contact Information ( Email)

Relationship to Participant:

Do you have any medical conditions (e.g., asthma, diabetes, allergies) that we should be aware of?

Are you taking any medications that we should know about?

Next of Kin Contact Information (Phone Number )

Next of Kin Contact Information (Email)

Consent and Participation: I understand that participation in a WhatsApp community is for sharing project updates and facilitating real-time communication among participants. I also acknowledge that recordings and images may be used for social media

Agree

I understand that while safety measures are in place, accidents can happen. I release the organisers and staff from liability for any injuries or illnesses that may occur during the session. Participation is at my own risk.

Agree

Disagree