St. Paul's Community Cashback Rugby consent form

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* 1. Pupil's Name

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* 2. Parent/Guardian's Name

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* 3. Parent/guardians phone number

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* 4. Parent/Guardian's Email Address

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* 5. Pupil's Dietary Requirements

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* 6. Pupil's Medical Conditions ( If applicable)

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* 7. Do you permit your child to be included in pictures taken during the event?

Yes

No