2023 IMF I-CAN Championships – Student Permission

IMF I-CAN CHAMPIONSHIPS

All student’s participating in the 2023 IMF I-CAN Championships, to be held in Canberra from 17-20th November, are required to submit this form.

"*" indicates required fields

School*

Student Name*

Date of Birth*

Gender*

School Year*

I identify as:*

My mob/tribe/country is:*

Shirt Size:*

Please indicate your child's shirt size i.e. Yth12, Ladies 10, Men's Small

Shoe Size:*

Please indicate your child's shoe size i.e. Kids 3, Ladies 8, Men's 12

Parent and/or Guardian Email*

Phone Number*

Emergency Contact*

Phone Number*

Does your child have any physical, medical or intellectual impairment that may affect your participation in the 2023 IMF I-CAN Championship?*

If Yes, please list any current or pre-existing medical conditions or injuries that you have.*

Please list any dietary requirements and/or food allergies.

Parent/Guardian Full Name:*

By submitting this form I consent to my child (named above) to participate in the 2023 IMF I-CAN Championships and agree to the terms listed above.

Parent/Guardian Signature (over 18 years)*

Date*

Phone

This field is for validation purposes and should be left unchanged.