Youth Contact Update Join the whānau! "*" indicates required fields KIA ORA! We are stoked to welcome you to the whānau - fill out the form below to connect with us!Personal DetailsFull Name* Email Address* MobileDate of Birth* DD slash MM slash YYYY Home Address* Street Address Suburb City Postcode School*Which school do you go to?Rosmini CollegeCarmel CollegeTakapuna Normal IntermediateWestlake Girls High SchoolWestlake Boys High SchoolTakapuna Grammar SchoolOtherYear Group*Year?910111213If other, please type in which school you go to:* Any allergies and/or dietary requirements?* Yes No Please select from below:* Vegetarian Vegan Dairy-Free Gluten Free / Coeliac Lactose-Free / Lactose intolerance Egg allergy Peanut allergy Seafood/Shellfish allergy Other If other, please explain:*Emergency ContactFull Name* Email Address* Mobile*ExpectationsTo ensure that youth nights run smoothly and are a rewarding experience, we ask that you note and observe the following conditions.Consent* Teens are asked to ensure that their behaviour and conduct at youth will not cause any nuisance, damage or injury to others .*Consent* Teens are asked to ensure that they have transport to and from youth gatherings, and in the case where this is not possible - that they will notify the Core team to organise one in liaison with their emergency contact.*Consent* The parish will not be responsible for damage or loss of any personal belongings. Please leave your valuables at home. Teens must safeguard their own personal belongings.*Declaration and Waiver of Liability:* I agree to the following conditions:1. I have read and agreed to abide by the above conditions. 2. All the information I have provided is correct and complete. 3. I am responsible for my own health issues, including, but not limited to, diet, medication, allergies, mental or physical illness, etc, during youth gatherings, and resulting from participation at these gatherings. 4. I also relieve the parish and the Core team from all liabilities in the event of any loss, damages, injury or illness incurred while participating in youth gatherings. Δ