I, the undersigned parent / legal guardian, wish to register my child (or myself) for the program(s) selected in this form, conducted by Rupantaram.
I confirm that the information I have given is true and complete to the best of my knowledge, including all health, medication and safeguarding details. I will inform the organisers of any change before the program begins.
I understand that the program includes group activities, outdoor and physical exercises, reflection sessions, and residential stay for the 4 Days Program. I agree that my child will follow the discipline, safety instructions and code of conduct set by the mentors, and I understand that the organisers may take reasonable decisions in the interest of my child's and the group's safety.
In a medical emergency, I authorise the organisers to arrange first aid and take my child to the nearest medical facility, and I will be informed as soon as possible. Any medical expenses will be borne by me.
I understand that the assessments in this form are self-reported, are not a medical or psychological diagnosis, and are used only to plan my child's program. Personal information will be kept confidential and used only for the program, communication about it, and my child's safety.