YorKON Registration Step 1 of 2 50% Participant DetailsWill any of the participants in this registration be under the age of 13?* Yes No All Children under the age of 13 MUST be accompanied by an adult guardian. Will any of the participants over 13 and under 18 be attending by themselves?* Yes No All Children under the age of 18 attending by themselves MUST have the consent of a adult guardian. Guardian Name* First Last Guardian's Preferred Name First Guardian's Email Address* Participant Details Participant Name Preferred Name Age Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Emergency Contact DetailsContact 1 - Name* First Last Contact 1 - Relationship* Contact 1 - Phone*Contact 2 - Name First Last Contact 2 - Relationship Contact 2 - PhoneGuardian Medical InformationDo you have any medical conditions or disability which may affect your participation in the YorKon Event?* Yes No Please provide details of the condition / disability*Do you have any allergies?* (ie insect bites, drugs, foods) Yes No Please provide details of the allergy Consent and ConditionsI {Guardian - Name (First):2.3} {Guardian - Name (Last):2.6} as a Parent/Guardian with legal responsibility for the named Participants above give my consent for them to participate in the YorKON Event as detailed in this form and attached Terms and Conditions. In the event of any illness or accident, I authorise the obtaining of such medical assistance as my child may require. I accept all medical treatment involved and the responsibility for payment of any expenses that are incurred as a result. All children 13 years and under must be accompanied by a parent/guardian. Terms and Conditions*Please read the Terms and Conditions (found here) associated with participating in the YorKon Event. You must agree to abide by the Terms and Conditions of this event and to comply with the instructions of Council personnel and other event facilitators. I agree to the terms and conditions Your Email*to receive a registration of interest confirmation email Attendee signatureSignature of adult guardian / parent