Event

Participant Name:(required)

Site (ie Clare or Limerick) or School Name:(required)

Parent Name:(required)

Parent Email:(required)

Parent Mobile:(required)

I am the parent/guardian of the above mentioned participant and give her permission to travel to and/or attend the above described event. I understand, that if her transportation is being provided for by Teen-Turn, she will be accompanied by her peers and a Teen-Turn Lead Mentor.(required)

Yes

I understand that Teen-Turn and the transportation provider will not provide any special assistance, unless agreed in advance between the parties, to the above mentioned participant.(required)

Yes

I hereby indemnify and hold harmless Teen-Turn, the transport provider, and the event host, their personnel and agents from and against any loss or damage sustained and/or any costs and expenses incurred by them in connection with the above mentioned participant's participation or resulting therefrom and to release them from any and all liability other than as set forth in the transport provider's conditions of carriage.(required)

Yes

I confirm that I will remain contactable on the number above.(required)

Yes

I grant permission to use the photographs of my child’s participation in this event for any legal use including but not limited to: online media, broadcast media, print media and social media. I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. (required)

Yes No

e-sign by entering your full name(required)

I am attending this event myself:(required)

Yes No

Please list the FULL NAMES of ALL parents or guardians or grandparents attending this event with this participant:

Please list the FULL NAMES of ALL siblings WITH AGE attending this event with this participant:

If any of the above mentioned family members appear in the background of or in part of a photograph of the event, these images can be used by the event organisers and their partners.

Yes No

TECHNOVATION CELEBRATION PITCH EVENT